Organization
TANASBOURNE RADIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES S PUTNAM MD (PRESIDENT)
(503) 292-9108
Entity
Organization
Contact information
Practice address
1881 NW 185TH AVE, ALOHA, OR 97006
(503) 292-9108
(503) 292-0346
Mailing address
PO BOX 25184, PORTLAND, OR 97298-0184
(503) 292-9108
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071303
—
OR
Enumeration date
02/02/2006
Last updated
11/28/2007
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