MCKENZIE MEDICAL IMAGING PC NPI 1114969532

NPI Information

  • NPI: 1114969532
  • Provider Name: MCKENZIE MEDICAL IMAGING PC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: WILLAMETTE VALLEY MAMMOGRAPHY
  • Address: 960 N 16TH ST
    SUITE 105
    SPRINGFIELD, OR
    ZIP 97477
  • Phone: (541) 726-4699

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NPI Details

MCKENZIE MEDICAL IMAGING PC is a specialist in Springfield, OR. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. MCKENZIE MEDICAL IMAGING PC NPI is 1114969532. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Willamette Valley Mammography.

The provider's business location address is:

960 N 16TH ST
SUITE 105
SPRINGFIELD, OR
ZIP 97477-175
Phone: (541) 726-4699
Fax: (541) 744-6069

The provider's authorized official is Vicki L Bridges .
The authorized official title is Office Manager and has the following contact phone number (541) 726-4699.

The enumeration date for this NPI number is 6/11/2006 and was last updated on 5/21/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistOREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03559OTHEROREGONRAILROAD MEDICARE
2018382MEDICAIDOREGON
3R0000WCGGVMEDICARE PINOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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