Organization
MT. HOOD IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEIGH ANNE DEW MD (OWNER)
(503) 257-3204
Entity
Organization
Contact information
Practice address
10101 SE MAIN ST, SUITE 2004, PORTLAND, OR 97216-2455
(503) 257-3204
(503) 255-7208
Mailing address
10101 SE MAIN ST, SUITE 2004, PORTLAND, OR 97216-2455
(503) 257-3204
(503) 255-7208
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
MD21140
OR
Other
Enumeration date
02/02/2009
Last updated
02/02/2009
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