is a Diagnostic Radiology in Salem, Oregon. practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for is 1649222076. The last update date is .
's current location address is 2925 Ryan Dr Se, Salem, Oregon. You can contact this provider via phone number 5033991262 and fax number 5033710777. The mailing address for is 2925 Ryan Dr Se, Salem, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 2925 Ryan Dr Se, Salem, Oregon |
| Phone Number | 5033991262 |
| Fax Number | 5033710777 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1649222076 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 2925 Ryan Dr Se |
|---|---|
| City | Salem |
| State | Oregon (OR) |
| Post Code | 973015074 |
| Phone Number | 5033991262 |
| Fax Number | 5033710777 |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 13196 |
|
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 |
|---|---|---|---|
| 268425 | OR | -- |
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