TRA-MINW PS NPI 1588904338

NPI Information

  • NPI: 1588904338
  • Provider Name: TRA-MINW, PS
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Organization
  • Former Legal Business Name: TACOMA RADIOLOGICAL ASSOCIATES, P.S.
  • Address: 1601 SE COURT AVE
    DEPARTMENT OF RADIOLOGY
    PENDLETON, OR
    ZIP 97801
  • Phone: (253) 761-4200

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NPI Details

TRA-MINW, PS is a diagnostic radiology radiology in Pendleton, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. TRA-MINW, PS NPI is 1588904338. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Tacoma Radiological Associates, P.s..

The provider's business location address is:

1601 SE COURT AVE
DEPARTMENT OF RADIOLOGY
PENDLETON, OR
ZIP 97801-217
Phone: (253) 761-4200
Fax: (253) 383-0730

The provider's authorized official is Victoria Epshteyn .
The authorized official title is Director Of Finance and has the following contact phone number (253) 761-4200.

The enumeration date for this NPI number is 2/14/2013 and was last updated on 12/23/2022.

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
1207U00000XNuclear MedicineNo
22085N0700XRadiologyNeuroradiologyNo
32085P0229XRadiologyPediatric RadiologyNo
42085R0204XRadiologyVascular & Interventional RadiologyNo
52085U0001XRadiologyDiagnostic UltrasoundNo
62085R0202XRadiologyDiagnostic 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1500663945MEDICAIDOREGON

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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