OB GYN BREAST IMAGING PC (NPI# 1477936599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477936599 |
| Entity Type | Organization |
| Organization Name | OB GYN BREAST IMAGING PC |
| Practice Address |
17050 Pilkington Rd Suite 130 Lake Oswego OR 97035-6306 |
| Mailing Address |
14780 Sw Osprey Dr Suite 325 Beaverton OR 97007-8028 |
| Practice Telephone | 5035795000 |
| Mailing Telephone | 5035795000 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2015-07-07 |
| Authorized Official Name | PATRICK LARSON (OFFICE MANAGER) |
| Authorized Official Telephone | 5035795000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471M2300X |
Radiologic Technologist Specialization: Mammography |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
17050 PILKINGTON RD SUITE 130 |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97035-6306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255406054 | Robert Wesley Seapy | Radiology | 17050 Pilkington Rd, Suuite 130, Lake Oswego, OR 97035-6306 | 2006-11-21 |
| 1114362126 | Womens Imaging and Intervention, LLC | Clinic/Center | 17050 Pilkington Rd, Suite 130, Lake Oswego, OR 97035-6306 | 2013-05-03 |
| 1487729281 | Amy Suzanne Thurmond | Radiology | 17050 Pilkington Rd, 130, Lake Oswego, OR 97035-6306 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932700127 | Teresa Siebenaler Scott | Social Worker | 3990 Sw Collins Way, Suite 202, Lake Owsego, OR 97035 | 2020-11-04 |
| 1528671567 | Martin Henry Lees | Internal Medicine | 14 Morningview Lane, Lake Oswego, OR 97035 | 2020-08-28 |
| 1356976187 | Premere Rehab LLC | Occupational Therapist | Infinity Rehab - The Springs At Lake Oswego, 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2020-03-12 |
| 1689212193 | Jennifer Chauvin | Nurse Practitioner | 20 Juarez Street, Lake Oswego, OR 97035 | 2019-12-16 |
| 1003396888 | Sarah Guenzburger | Physical Therapist | 3900 Kruse Way Pl, Lake Oswego, OR 97035 | 2018-08-21 |
| 1568964252 | Brett Johnson | Marriage & Family Therapist | 5655 Southwood Dr, Lake Oswego, OR 97035 | 2018-03-08 |
| 1912416561 | Michael Paul Long | Social Worker | 14523 Westlake Drive, Lake Oswego, Or 97035, Lake Oswego, OR 97035 | 2017-09-27 |
| 1467807859 | Misty Lohn | Nurse Practitioner | 5 Centerpointe Dr., Ste 600, Lake Oswego, OR 97035 | 2016-05-04 |
| 1326405473 | Kelsey Prince | Behavioral Analyst | 6400 Sw Rosewood St., Portland (lake Oswego), OR 97035 | 2016-01-20 |
| 1942683388 | Elizabeth Risberg Harrison | Massage Therapist | 190 Oswego Summit, Lake Oswego, OR 97035 | 2015-07-02 |
| Find all providers in zip 97035 | ||||
| Taxonomy Code | 2471M2300X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Mammography |
| Definition to come... |
| City | LAKE OSWEGO |
| Zip Code | 97035 |
Please comment or provide details below to improve the information on OB GYN BREAST IMAGING PC.
| 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.