Organization
MEDICAL IMAGING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S PUTNAM MD (PRES)
(503) 216-4830
Entity
Organization
Contact information
Practice address
18040 SW LOWER BOONES FERRY ROAD, TIGARD, OR 97224
(503) 216-8440
(503) 292-0346
Mailing address
9400 SW BARNES RD, SUITE 307, PORTLAND, OR 97225-6608
(503) 797-6356
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
PENDING
OR
Other
Enumeration date
01/02/2009
Last updated
01/02/2009
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