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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
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