Organization
MCMINNVILLE IMAGING ASSOCIATES LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN H EDELMAN MD (PRESIDENT)
(503) 472-6620
Entity
Organization
Contact information
Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 472-1104
Mailing address
PO BOX 516, CORVALLIS, OR 97339-0516
(541) 758-5047
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
09360
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019117
—
OR
Enumeration date
05/17/2006
Last updated
02/28/2023
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