Organization
BRIDGEPORT MRI LLC
Active
Other names
Clearview MRI Bridgeport
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY E ORIN (CEO)
(503) 774-7700
Entity
Organization
Contact information
Practice address
15755 SW SEQUOIA PKWY, SUITE 100, TIGARD, OR 97224-7166
(503) 639-9700
(503) 639-9710
Mailing address
15755 SW SEQUOIA PKWY, SUITE 100, TIGARD, OR 97224-7166
(503) 747-4868
(503) 639-9710
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213180
—
OR
Enumeration date
06/04/2006
Last updated
01/18/2023
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