Organization
ULTRASOUND NORTHWEST OF WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARREN GLASSMAN (PRESIDENT)
(503) 646-7777
Entity
Organization
Contact information
Practice address
6140 SW ARCTIC DR, BEAVERTON, OR 97005-9448
(503) 646-7777
(503) 646-7036
Mailing address
PO BOX 66500, PORTLAND, OR 97290-6500
(503) 657-8663
(503) 723-3180
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417903279
NPI NUMBER
WA
05
—
7132962
—
WA
01
—
P00083417
MEDICARE RAILROAD
WA
Enumeration date
05/25/2006
Last updated
11/15/2007
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