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OPEN ADVANCED MRI PORTLAND III LLC NPI 1184670754


NPI Information

NPI: 1184670754
Provider Name: OPEN ADVANCED MRI PORTLAND III, LLC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
11750 SE 82ND AVE
#J
PORTLAND, OR
ZIP 97266
Phone: (503) 653-1699
Get Directions

OPEN ADVANCED MRI PORTLAND III, LLC is a diagnostic radiology radiology in Portland, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. OPEN ADVANCED MRI PORTLAND III, LLC NPI is 1184670754. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11750 SE 82ND AVE
#J
PORTLAND, OR
ZIP 97266-727
Phone: (503) 653-1699
Fax: (503) 653-3899

The provider's authorized official is Levent Adam .
The authorized official title is Director Of Operations and has the following contact phone number (703) 970-2892.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 10/27/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1R105089MEDICARE PINOREGON
2130242MEDICAIDOREGON
3470000797MEDICARE PIN
47114648MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.