Organization
BODY IMAGING PC
Active
Organization
BODY IMAGING PC
Active
Other names
Body Imaging Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EILEEN RUIZ RT (CENTER MANAGER)
(503) 619-1106
Entity
Organization
Contact information
Practice address
1500 NW BETHANY BLVD, SUITE 100, BEAVERTON, OR 97006-5233
(503) 619-1100
(503) 619-1101
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 619-1100
(503) 619-1101
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108639
—
OR
Enumeration date
08/11/2006
Last updated
10/22/2007
Update your record
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