Organization
WILLAMETTE OPEN IMAGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN RICHARD BENNETT (MANAGING MEMBER)
(503) 581-2021
Entity
Organization
Contact information
Practice address
2480 LIBERTY ST NE, STE. 110, SALEM, OR 97301-8380
(503) 581-2021
(503) 581-2045
Mailing address
2480 LIBERTY ST NE, STE. 110, SALEM, OR 97301-8380
(503) 581-2021
(503) 581-2045
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
04/17/2008
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