Organization
THE RADIOLOGY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES S PUTNAM MD (PRESIDENT)
(503) 292-9108
Entity
Organization
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-4830
(503) 216-4850
Mailing address
PO BOX 25184, PORTLAND, OR 97298-0184
(503) 292-9108
(503) 292-0346
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029264
—
OR
01
—
DE8225
RAILROAD MEDICARE PIN
OR
01
—
R139758
MDCR PTAN
OR
Enumeration date
02/02/2006
Last updated
07/29/2008
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