Organization
OPEN ADVANCED MRI OF VANCOUVER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVENT ADAM (DIRECTOR OF OPERATIONS)
(703) 970-2892
Entity
Organization
Contact information
Practice address
221G NE 104TH AVE, #106, VANCOUVER, WA 98664-4587
(360) 253-2525
(360) 253-3611
Mailing address
DEPARTMENT 4888, CAROL STREAM, IL 60122-4888
(503) 657-8663
(503) 723-3180
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287749
—
OR
05
—
7104391
—
WA
Enumeration date
05/28/2006
Last updated
12/27/2010
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