Organization
PORTABLE X RAY OF OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL TOOMEY (MEMBER)
(702) 645-2606
Entity
Organization
Contact information
Practice address
10570 SE WASHINGTON ST, SUITE 200, PORTLAND, OR 97216
(425) 640-2600
(425) 640-2174
Mailing address
5538 W DUNCAN DR, LAS VEGAS, NV 89130
(702) 645-2606
(702) 645-2874
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
248096
—
OR
01
—
O8C244
REGENCE
OR
Enumeration date
01/09/2006
Last updated
07/12/2007
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