Organization
SNAKE RIVER RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JANET R CEGNAR MD (CORP SECRETARY)
(541) 889-9545
Entity
Organization
Contact information
Practice address
964 W IDAHO AVE, ONTARIO, OR 97914-2111
(541) 889-9545
(541) 889-8376
Mailing address
964 W IDAHO AVE, ONTARIO, OR 97914-2111
(541) 889-9545
(541) 889-8376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084934
—
OR
05
—
80408077
—
ID
Enumeration date
09/07/2006
Last updated
08/22/2020
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