Organization
MISSION MEDICAL IMAGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS CHAMBERS R.T.(R). (GENERAL MANAGER)
(503) 362-0254
Entity
Organization
Contact information
Practice address
1155 MISSION ST SE, SUITE 105, SALEM, OR 97302-6228
(503) 362-0254
Mailing address
PO BOX 191, SALEM, OR 97308-0191
(503) 362-0254
(503) 362-1082
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178384
—
OR
Enumeration date
05/28/2006
Last updated
04/07/2008
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