Organization
MEDICAL IMAGING GROUP OF HILLSBORO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAWRENCE HORNICK M.D. (SENIOR PARTNER)
(503) 681-1106
Entity
Organization
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1000
(503) 681-1796
Mailing address
PO BOX 28130, PORTLAND, OR 97228-8130
(503) 681-1000
(503) 681-1796
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
0666431 7
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076778
—
OR
Enumeration date
11/01/2006
Last updated
08/20/2009
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