Organization
OPEN ADVANCED MRI OF PORTLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEVENT ADAM (DIRECTOR OF OPERATIONS)
(503) 407-4697
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD, #J, PORTLAND, OR 97223-5442
(503) 246-6666
(503) 246-9465
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
—
134473
—
OR
05
—
7088594
—
WA
Enumeration date
05/23/2006
Last updated
12/27/2010
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