Organization
CPI PROFESSIONAL SERVICES, PC
Active
Organization
CPI PROFESSIONAL SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TIMMONS (ACCOUNTS MANAGER)
(360) 699-8158
Entity
Organization
Contact information
Practice address
2055 EXCHANGE ST STE 170, ASTORIA, OR 97103-3419
(360) 699-8158
(360) 699-3372
Mailing address
PO BOX 5469, VANCOUVER, WA 98668-5469
(360) 699-8158
(360) 699-3372
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
132287
—
OR
Enumeration date
10/04/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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