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Organization

CENTER FOR MEDICAL IMAGING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMES V HAZARD (MD)
(503) 292-9108
Entity
Organization

Contact information

Practice address
10810 NE CORNELL RD STE 100, HILLSBORO, OR 97124-9219
(503) 216-8400
(503) 216-8410
Mailing address
PO BOX 25278, PORTLAND, OR 97298-0278
(503) 292-9108
(503) 292-0346

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2085R0202X
Diagnostic Radiology Physician
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
269831
OR
01
DD7153
RAILROAD MEDICARE PIN
OR
Enumeration date
02/02/2006
Last updated
04/25/2022
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