Organization
NOVA RADIOLOGY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS R. BROWN M.D. (PRESIDENT)
(503) 513-8300
Entity
Organization
Contact information
Practice address
10150 SE 32ND AVE, MILWAUKIE, OR 97222-6516
(541) 513-8300
Mailing address
PO BOX 547, CORVALLIS, OR 97339-0547
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
060264
—
OR
Enumeration date
05/27/2006
Last updated
11/08/2007
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