Organization
OPEN ADVANCED MRI LONGVIEW LLC
Active
Organization
OPEN ADVANCED MRI LONGVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVENT ADAM (DIRECTOR OF OPERATIONS)
(503) 407-4697
Entity
Organization
Contact information
Practice address
1015 OCEAN BEACH HWY, #125, LONGVIEW, WA 98632-4098
(360) 703-0703
(360) 703-0704
Mailing address
PO BOX 75025, BALTIMORE, MD 21275-5025
(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
—
286358
—
OR
05
—
7110620
—
WA
Enumeration date
05/23/2006
Last updated
08/15/2008
Update your record
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