Organization
MOUNTAINVIEW MRI LLC
Active
Other names
Clearview MRI Gresham
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY E. ORIN (MANAGING MEMBER)
(503) 661-6500
Entity
Organization
Contact information
Practice address
24076 SE STARK ST, SUITE 180, GRESHAM, OR 97030-3373
(503) 661-6500
(503) 661-6005
Mailing address
24076 SE STARK ST, SUITE 180, GRESHAM, OR 97030-3373
(503) 661-6500
(503) 661-6005
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240114
—
OR
Enumeration date
05/09/2006
Last updated
01/18/2023
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