# COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
- **Other names:** Comprehensive Interventional Care Centers, PLLC - Portland
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194282400
- **Legal business name:** COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
- **Authorized official:** JOEL R. RAINWATER MD (PRESIDENT)
- **Authorized official phone:** (480) 374-7354

## Contact information

- **Practice address:** 6958 SW VARNS ST, PORTLAND, OR 97223-0000
- **Practice address phone:** (503) 683-7730
- **Practice address fax:** (503) 914-0927
- **Mailing address:** 4001 E BASELINE RD STE 107, GILBERT, AZ 85234-2744
- **Mailing address phone:** (480) 374-7354
- **Mailing address fax:** (480) 371-1121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/22/2019
- **Last updated:** 02/22/2019