Organization
COLUMBIA IMAGING GROUP, PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRINKMAN MD (PRESIDENT)
(360) 892-9664
Entity
Organization
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2161
(360) 514-2663
Mailing address
13215 SE MILL PLAIN BLVD, STE C8-901, VANCOUVER, WA 98684-6963
(360) 892-9664
(360) 892-9667
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277919
—
OR
05
—
7124662
—
WA
05
—
807238800
—
ID
01
—
DC1642
RR MEDICARE
WA
Enumeration date
04/01/2006
Last updated
06/15/2012
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