Radiology Specialists Of The Northwest, Pc

LBN: Radiology Specialists Of The Northwest, Pc
Radiology Specialists Of The Northwest, Pc is an health care organization with primary practice located at 545 Ne 47Th Ave Suite 215, Portland OR 97213-2238. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as the primary health care specialty. Radiology Specialists Of The Northwest, Pc can be contacted via phone (503) 731-2900, or through Kizziar, Ronald via phone (503) 731-2900.

Contact Information

Primary practice address
545 Ne 47Th Ave Suite 215 Portland OR 97213-2238
Fax:
Website:
Authorized official contact:
Name: Kizziar, Ronald Doctor of Medicine (MD)

Health care specialties

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

Profile Details

NPI number 1699759498
LBN Legal business name Radiology Specialists Of The Northwest, Pc
DBA Doing business as
Authorized official Kizziar, Ronald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Aug 16th, 2010 - about 15 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 1699759498 NPPES
Washington MEDICAID 7130669
Washington Other 840126000
Washington MEDICAID 227689

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