# MT. HOOD IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689812430
- **Authorized official:** DR. LEIGH ANNE DEW MD (OWNER)
- **Authorized official phone:** (503) 257-3204

## Contact information

- **Practice address:** 10101 SE MAIN ST, SUITE 2004, PORTLAND, OR 97216-2455
- **Practice address phone:** (503) 257-3204
- **Practice address fax:** (503) 255-7208
- **Mailing address:** 10101 SE MAIN ST, SUITE 2004, PORTLAND, OR 97216-2455
- **Mailing address phone:** (503) 257-3204
- **Mailing address fax:** (503) 255-7208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | MD21140 | OR | Yes |

## Other

- **Enumeration date:** 02/02/2009
- **Last updated:** 02/02/2009