Organization
COLUMBIA PACIFIC IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TIMMONS (ACCOUNTS MANAGER)
(360) 699-8158
Entity
Organization
Contact information
Practice address
2055 EXCHANGE ST STE 170, ASTORIA, OR 97103-3419
(360) 699-8158
(360) 699-3372
Mailing address
PO BOX 5469, VANCOUVER, WA 98668-5469
(360) 699-8158
(360) 699-3372
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071998
—
OR
Enumeration date
10/04/2006
Last updated
08/22/2020
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