Organization
LEGACY OUTPATIENT IMAGING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA LOOMIS (CFO)
(503) 415-5730
Entity
Organization
Contact information
Practice address
1919 NW LOVEJOY ST, PORTLAND, OR 97209-1503
(503) 982-4350
(503) 225-8743
Mailing address
PO BOX 3063, PORTLAND, OR 97208-3063
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/14/2024
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