Organization
OPEN ADVANCED MRI PORTLAND III, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVENT ADAM (DIRECTOR OF OPERATIONS)
(703) 970-2892
Entity
Organization
Contact information
Practice address
11750 SE 82ND AVE, #J, PORTLAND, OR 97266-7727
(503) 653-1699
(503) 653-3899
Mailing address
PO BOX 75469, BALTIMORE, MD 21275-5469
(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
—
130242
—
OR
05
—
7114648
—
WA
Enumeration date
05/25/2006
Last updated
10/27/2009
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