# SAFE HARBOR MEDICAL INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Serenity Open MRI
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669037982
- **Authorized official:** SIEGFRIED BERTHELSDORF (DIRECTOR)
- **Authorized official phone:** (503) 776-0868

## Contact information

- **Practice address:** 1026 NW SLERET AVE, GRESHAM, OR 97030-5504
- **Practice address phone:** (503) 776-0868
- **Practice address fax:** (855) 940-1880
- **Mailing address:** 1026 NW SLERET AVE, GRESHAM, OR 97030-5504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/02/2019
- **Last updated:** 04/06/2020
