Organization
HEAD & NECK IMAGING NORTHWEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM D BATEMAN DMD (OWNER)
(503) 391-2488
Entity
Organization
Contact information
Practice address
4035 12TH ST CUT OFF SE, SUITE 140, SALEM, OR 97302-1764
(503) 391-2488
(503) 588-7454
Mailing address
4035 12TH CUT OFF ST SE, SUITE 140, SALEM, OR 97302
(503) 391-2477
(503) 588-7454
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
1302148-2
OR
Other
Enumeration date
10/02/2007
Last updated
10/02/2007
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