Organization
THREE RIVERS RADIOLOGY ASSOCIATES, PC
Active
Other names
Advanced Imaging Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE TRIPP (ADMINISTRATOR)
(541) 471-4485
Entity
Organization
Contact information
Practice address
500 SW RAMSEY AVE, GRANTS PASS, OR 97527-5554
(541) 472-7140
Mailing address
PO BOX 1750, GRANTS PASS, OR 97528-0148
(541) 471-4485
(541) 471-4486
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189449
—
OR
Enumeration date
06/12/2006
Last updated
07/13/2020
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