Organization
CORVALLIS MRI A JOINT VENTURE
Active
Organization
CORVALLIS MRI A JOINT VENTURE
Active
Other names
Corvallis MRI
Organization subpart
No
Provider details
NPI number
Authorized official
JOSIAH JOHNSON (CEO - GSRMC)
(541) 768-5009
Entity
Organization
Contact information
Practice address
3615 NW SAMARITAN DRIVE, SUITE 101, CORVALLIS, OR 97330-3737
(541) 768-5187
(541) 768-5092
Mailing address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-5472
(541) 768-5187
Taxonomy
Speciality
Code
Description
License number
State
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
214502
—
OR
Enumeration date
04/20/2007
Last updated
04/07/2026
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