Organization
OREGON ADVANCED IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNETTE KAY GUNDLACH (COMPTROLLER)
(541) 622-6322
Entity
Organization
Contact information
Practice address
870 S FRONT ST, CENTRAL POINT, OR 97502-2779
(541) 732-8229
(541) 773-7009
Mailing address
881 OHARE PKWY, MEDFORD, OR 97504-4005
(541) 622-6322
(541) 773-7009
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
Primary
067493-94
OR
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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