Willamette Valley Mammography

LBN: Mckenzie Medical Imaging Pc
Willamette Valley Mammography is an health care organization with primary practice located at 960 N 16Th St Suite 105, Springfield OR 97477-4175. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Mckenzie Medical Imaging Pc can be contacted via phone (541) 726-4699, or through Bridges, Vicki L via phone (541) 726-4699.

Contact Information

Primary practice address
960 N 16Th St Suite 105 Springfield OR 97477-4175
Phone: (541) 726-4699
Fax: (541) 744-6069
Website:
Map and Directions
Authorized official contact:
Name: Bridges, Vicki L
Phone: (541) 726-4699

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Oregon

Profile Details

NPI number 1114969532
LBN Legal business name Mckenzie Medical Imaging Pc
DBA Doing business as Willamette Valley Mammography
Authorized official Bridges, Vicki L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 11th, 2006
Last updated May 21st, 2009 - about 16 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 1114969532 NPPES
Oregon Other C03559 RAILROAD MEDICARE
Oregon MEDICAID 018382 RAILROAD MEDICARE

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