Organization
EASTERN OREGON DIAGNOSTIC IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM WIMER (OWNER)
(541) 805-8248
Entity
Organization
Contact information
Practice address
2011 4TH ST, LA GRANDE, OR 97850-2511
(541) 963-4139
Mailing address
PO BOX 1893, CORVALLIS, OR 97339-1893
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
06/02/2014
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