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Organization

OPEN ADVANCED MRI PORTLAND II, 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
735 NW 19TH AVE, PORTLAND, OR 97209-1301
(503) 220-0066
(503) 464-9694
Mailing address
PO BOX 75411, BALTIMORE, MD 21275-5411
(503) 489-1681
(503) 723-3180

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
151060
OR
05
7088529
WA
Enumeration date
05/26/2006
Last updated
10/27/2009
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