Diagnostic Radiologists Pc in Portland - Diagnostic Radiology
Diagnostic Radiologists Pc - NPI 1053368563
Diagnostic Radiologists Pc is a Diagnostic Radiology in Portland, Oregon. Diagnostic Radiologists Pc practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Diagnostic Radiologists Pc is 1053368563. The last update date is 2019-05-20.
Diagnostic Radiologists Pc's current location address is Po Box 2097, Portland, Oregon. You can contact this provider via phone number 5032516132 and fax number 5032516136. The mailing address for Diagnostic Radiologists Pc is Po Box 2097, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diagnostic Radiologists Pc |
|---|---|
| Address | Po Box 2097, Portland, Oregon |
| Phone Number | 5032516132 |
| Fax Number | 5032516136 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Peterson Russell Jed |
| Credentials | MD |
| Telephone Number | 5032516132 |
NPI Number Detail
| NPI Number | 1053368563 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2019-05-20 |
Provider Mailing Address Detail
| Address | Po Box 2097 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 97208 |
| Phone Number | 5032516132 |
| Fax Number | 5032516136 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| H110076 | HI | -- | |
| 7805609 | WA | -- | |
| 64972 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Diagnostic Radiologists Pc by the Centers for Medicare & Medicaid Services?
The Diagnostic Radiologists Pc has been issued the NPI (National Provider Identifier) 1053368563, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Diagnostic Radiologists Pc is physically located?
The Diagnostic Radiologists Pc is situated at the following address: Po Box 2097, Portland, OR 97208.
What is Diagnostic Radiologists Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Diagnostic Radiologists Pc's specialized field of practice is Diagnostic Radiology, and the corresponding taxonomy code that categorizes this area of specialization is 2085R0202X.
When did Diagnostic Radiologists Pc receive its 1053368563 assignment?
The Diagnostic Radiologists Pc was assigned its 1053368563 on 2006-05-28, which is the date when this unique identifier was issued to the organization.
When was the Diagnostic Radiologists Pc's information last updated?
The Diagnostic Radiologists Pc's information was last updated on 2019-05-20.