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Organization
MOUNTAINVIEW MRI LLC
Active
Organization
MOUNTAINVIEW MRI LLC
Active
Other names
Clearview MRI Gresham
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY E. ORIN (MANAGING MEMBER)
(503) 661-6500
Entity
Organization
Contact information
Practice address
24076 SE STARK ST, SUITE 180, GRESHAM, OR 97030-3373
(503) 661-6500
(503) 661-6005
Mailing address
24076 SE STARK ST, SUITE 180, GRESHAM, OR 97030-3373
(503) 661-6500
(503) 661-6005
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240114
—
OR
Enumeration date
05/09/2006
Last updated
01/18/2023
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