MEDICAL IMAGING GROUP, LLC (NPI# 1043456643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043456643 |
| Entity Type | Organization |
| Organization Name | MEDICAL IMAGING GROUP, LLC |
| Practice Address |
18040 Sw Lower Boones Ferry Road Tigard OR 97224 |
| Mailing Address |
9400 Sw Barnes Rd Suite 307 Portland OR 97225-6608 |
| Practice Telephone | 5032168440 |
| Practice Fax Number | 5032920346 |
| Mailing Telephone | 5037976356 |
| Mailing Fax Number | 5032920346 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2009-01-02 |
| Authorized Official Name | DR. JAMES S PUTNAM (PRES) |
| Authorized Official Telephone | 5032164830 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
PENDING | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134338874 | Medical Imaging Group, LLC | Clinical Medical Laboratory | 120 Scott Perry Dr, Paintsville, KY 41240-9000 | 2007-05-21 |
| Street Address |
18040 SW LOWER BOONES FERRY ROAD |
| City | TIGARD |
| State | OR |
| Zip Code | 97224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922253525 | Bridgeport Medical Imaging, LLC | Radiology | 18040 Sw Lower Boones Ferry Road, Tigard, OR 97224-7259 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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|---|---|---|---|---|
| 1669089223 | Lazarus 3d, Inc. | Clinic/Center | 3513 Nw Mink Pl, Corvallis, OR 97330-3729 | 2020-09-28 |
| 1952952079 | Salem Health | Clinic/Center | 105 Arney Rd, Woodburn, OR 97071-9471 | 2019-09-20 |
| 1679537252 | Willamette Valley Clinics LLC | Clinic/Center | 232 Ne Norton Ln, Mcminnville, OR 97128-8470 | 2006-04-12 |
| 1720417710 | St. Charles Health System, Inc. | Clinic/Center | 630 N Arrowleaf Trl, Sisters, OR 97759-2610 | 2013-11-11 |
| 1952730871 | Mid Rogue Imaging Center | Clinic/Center | 1619 Nw Hawthorne Ave Ste 102, Grants Pass, OR 97526-6008 | 2013-11-01 |
| 1114362126 | Womens Imaging and Intervention, LLC | Clinic/Center | 17050 Pilkington Rd, Suite 130, Lake Oswego, OR 97035-6306 | 2013-05-03 |
| 1780813741 | Motion Orthopedics, P.C. | Clinic/Center | 1122 W Elm Ave, Hermiston, OR 97838-6933 | 2009-07-10 |
| 1174770127 | Northwest Ct Images LLC | Clinic/Center | 2831 Sw Cornelius Pass Rd, Suite 100, Hillsboro, OR 97123 | 2008-08-21 |
| 1598952699 | Head & Neck Imaging Northwest, LLC | Clinic/Center | 4035 12th St Cut Off Se, Suite 140, Salem, OR 97302-1764 | 2007-10-02 |
| 1992854947 | Pjs, LLC | Clinic/Center | 12725 Sw Millikan Way, Suite 300, Beaverton, OR 97005-1678 | 2007-01-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.