Organization
ADVANCED MEDICAL IMAGING OF PORTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVENT ADAM (DIRECTOR OF OPERATIONS)
(703) 970-2892
Entity
Organization
Contact information
Practice address
6542 SE LAKE RD STE 103, MILWAUKIE, OR 97222-2245
(503) 653-1699
(503) 653-3899
Mailing address
DEPARTMENT 4888, CAROL STREAM, IL 60122-4888
(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
—
500618878
—
OR
Enumeration date
01/14/2010
Last updated
01/06/2011
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