Organization
CORVALLIS RADIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEILA BENDER (MANAGING MEMBER)
(541) 452-8002
Entity
Organization
Contact information
Practice address
777 NW 9TH ST STE 210C, CORVALLIS, OR 97330-6169
(541) 452-8002
(541) 758-3713
Mailing address
PO BOX 1615, EVANSVILLE, IN 47706-0017
(541) 452-8002
(541) 758-3713
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
18144
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142612
—
OR
Enumeration date
04/28/2006
Last updated
03/04/2024
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