Organization
EPIC IMAGING PC
Active
Organization
EPIC IMAGING PC
Active
Other names
RAYUS RADIOLOGY, Epic Imaging PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA YEAGER (ADMINISTRATIVE ASSISTANT)
(503) 535-7009
Entity
Organization
Contact information
Practice address
233 NE 102ND AVENUE, PORTLAND, OR 97220-4106
(503) 535-8300
(503) 535-8399
Mailing address
233 NE 102ND AVENUE, PORTLAND, OR 97220-4106
(503) 253-1105
(503) 535-8002
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213330
—
OR
Enumeration date
09/19/2006
Last updated
09/23/2021
Update your record
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