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Organization
ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF OREGON PC
Active
Organization
ELITE INTERVENTIONAL RADIOLOGY CONSULTANTS OF OREGON PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN EVANS (EXECUTIVE ADMINISTRATOR)
(727) 480-2734
Entity
Organization
Contact information
Practice address
600 NW 11TH ST STE E10, HERMISTON, OR 97838-8602
(541) 667-3825
Mailing address
12421 SW SHERI AVE, LAKE SUZY, FL 34269-5938
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
Other
Enumeration date
08/12/2025
Last updated
08/14/2025
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