Organization
OREGON ADVANCED IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP FRANK BENEDETTI M.D. (MEDICAL DIRECTOR-BOARD MEMBER)
(541) 282-6636
Entity
Organization
Contact information
Practice address
881 OHARE PKWY, MEDFORD, OR 97504-4005
(541) 773-8661
(541) 842-9206
Mailing address
PO BOX 1527, MEDFORD, OR 97501-0114
(541) 773-8661
(541) 842-9206
Taxonomy
Speciality
Code
Description
License number
State
2471C3401X
Computed Tomography Radiologic Technologist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
—
—
2471N0900X
Nuclear Medicine Technology Radiologic Technologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100183
—
OR
Enumeration date
02/14/2006
Last updated
06/06/2008
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