Organization
OPEN ADVANCED MRI OF PORTLAND PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY E LARHS MD (MEDICAL DIRECTOR)
(503) 246-6666
Entity
Organization
Contact information
Practice address
9370 SW GREENBURG RD, PORTLAND, OR 97223-5442
(503) 246-6666
(503) 246-9465
Mailing address
9370 SW GREENBURG RD, PORTLAND, OR 97223-5442
(503) 246-6666
(503) 246-9465
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
MD00038333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8251449
—
WA
01
—
G8922776
MEDICARE PTAN
WA
01
—
R171792
MEDICARE PTAN
OR
Enumeration date
05/24/2013
Last updated
08/17/2021
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