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BODY IMAGING PC NPI 1649281692


NPI Information

NPI: 1649281692
Provider Name: BODY IMAGING PC

Doing Business As: BODY IMAGING RADIOLOGY

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
1500 NW BETHANY BLVD
SUITE 100
BEAVERTON, OR
ZIP 97006
Phone: (503) 619-1100
Get Directions

BODY IMAGING PC is a diagnostic radiology radiology in Beaverton, OR. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. BODY IMAGING PC NPI is 1649281692. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Body Imaging Radiology.

The provider's business location address is:

1500 NW BETHANY BLVD
SUITE 100
BEAVERTON, OR
ZIP 97006-233
Phone: (503) 619-1100
Fax: (503) 619-1101

The provider's authorized official is Eileen Ruiz .
The authorized official title is Center Manager and has the following contact phone number (503) 619-1106.

The enumeration date for this NPI number is 8/11/2006 and was last updated on 10/22/2007.


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 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
1108639MEDICAIDOREGON
2R0000WCHJNMEDICARE 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: 4/28/2024

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