Organization
NEWBERG RADIOLOGY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY DIRE J M.D. (PRESIDENT)
(503) 537-1578
Entity
Organization
Contact information
Practice address
501 VILLA RD, NEWBERG, OR 97132-1832
(503) 537-1578
Mailing address
PO BOX 6600, PORTLAND, OR 97228-6600
(503) 657-8663
(503) 723-3180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280321
—
OR
05
—
7001605
—
WA
Enumeration date
05/20/2006
Last updated
07/16/2007
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