Organization
OPEN MRI DIAGNOSTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEA DEHN (OFFICE MANAGER)
(509) 464-7840
Entity
Organization
Contact information
Practice address
1116 E WESTVIEW CT, #A, SPOKANE, WA 99218-1384
(509) 455-6736
(509) 455-6737
Mailing address
1116 E WESTVIEW CT, #A, SPOKANE, WA 99218-1384
(509) 455-6736
(509) 455-6737
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00026919
WA
208U00000X
Clinical Pharmacology Physician
MD00026919
WA
208VP0014X
Interventional Pain Medicine Physician
MD00026919
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7200140
—
WA
01
—
G8856410
MEDICARE ID
—
Enumeration date
04/08/2008
Last updated
07/23/2008
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