# PORTLAND IMAGING CENTER, LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Northshore Medical Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740366707
- **Authorized official:** TERESA L BILLMAN CPA (PRACTICE MANAGER)
- **Authorized official phone:** (361) 358-7166

## Contact information

- **Practice address:** 115 NORTHSHORE BLVD, PORTLAND, TX 78374
- **Practice address phone:** (361) 777-1777
- **Mailing address:** 1201 NEWHALL ST, BEEVILLE, TX 78102-2921
- **Mailing address phone:** (361) 358-7166
- **Mailing address fax:** (361) 358-2166

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 11/02/2007