Diagnostic Radiologists, Pc

LBN: Diagnostic Radiologists, Pc
Diagnostic Radiologists, Pc is an health care organization with primary practice located at 10123 Se Market St , Portland OR 97216-2532. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Diagnostic Radiologists, Pc can be contacted via phone (503) 251-6132, or through Peterson, Jed Russell via phone (503) 251-6132.

Contact Information

Primary practice address
10123 Se Market St Portland OR 97216-2532
Phone: (503) 251-6132
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Jed Russell Doctor of Medicine (MD)
Phone: (503) 251-6132

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1780702993
LBN Legal business name Diagnostic Radiologists, Pc
DBA Doing business as
Authorized official Peterson, Jed Russell Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated May 20th, 2019 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780702993 NPPES
Hawaii MEDICAID H110076

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