PORTABLE X RAY OF OREGON LLC NPI 1184602120

NPI Information

NPI: 1184602120
Provider Name: PORTABLE X RAY OF OREGON LLC
Classification: Clinic/Center - 261QR0208X
Entity Type: Organization

Specialization: Radiology, Mobile

Address:
10570 SE WASHINGTON ST
SUITE 200
PORTLAND, OR
ZIP 97216
Phone: (425) 640-2600
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PORTABLE X RAY OF OREGON LLC is a radiology and mobile clinic center in Portland, OR. PORTABLE X RAY OF OREGON LLC NPI is 1184602120. The provider is registered as an organization entity type.

The provider's business location address is:

10570 SE WASHINGTON ST
SUITE 200
PORTLAND, OR
ZIP 97216
Phone: (425) 640-2600
Fax: (425) 640-2174

The provider's authorized official is Carol Toomey .
The authorized official title is Member and has the following contact phone number (702) 645-2606.

The enumeration date for this NPI number is 1/9/2006 and was last updated on 7/12/2007.

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
1	261QR0208X	Clinic/Center	Radiology, Mobile			Yes

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
1	O8C244	OTHER	OREGON	REGENCE
2	112271	MEDICARE PIN	OREGON
3	248096	MEDICAID	OREGON

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: 4/28/2024

NPI Synchronization or Removal

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