OPEN ADVANCED MRI OF VANCOUVER, LLC (NPI# 1770530560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770530560 |
| Entity Type | Organization |
| Organization Name | OPEN ADVANCED MRI OF VANCOUVER, LLC |
| Practice Address |
221g Ne 104th Ave #106 Vancouver WA 98664-4587 |
| Mailing Address |
Department 4888 Carol Stream IL 60122-4888 |
| Practice Telephone | 3602532525 |
| Practice Fax Number | 3602533611 |
| Mailing Telephone | 5036578663 |
| Mailing Fax Number | 5037233180 |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2010-12-27 |
| Authorized Official Name | LEVENT ADAM (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 7039702892 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 287749 | 05 | |
| WA | 7104391 | 05 |
| Street Address |
221G NE 104TH AVE #106 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98664-4587 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203944 | Open Advanced Mri of Vancouver Ps | Specialist/Technologist, Other | 221g Ne 104th Ave, Suite 106, Vancouver, WA 98664-4587 | 2013-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285249938 | Angelica Maria Parle-fresquez | Speech-Language Pathologist | Early Childhood Assessment Center - Lieser School, 301 S. Lieser Rd, Vancouver, WA 98664 | 2020-09-10 |
| 1467923441 | Elizabeth Steen | Counselor | 230 E. State St., Mossyrock, WA 98664 | 2018-12-17 |
| 1497241657 | Chelsey Nicole Parker | Peer Specialist | 9815 Ne 3rd St, Vancouver, WA 98664 | 2018-07-10 |
| 1881145431 | Brent Homan | Occupational Therapist | 807 Se Morgan Rd., Vancouver, WA 98664 | 2016-10-19 |
| 1114474277 | Rebecca Marie Stefan | Nurse's Aide | 10025 Ne 19th St, Vancouver, WA 98664 | 2016-09-07 |
| 1528454105 | Alicia Ford | Dietitian, Registered | 700 Ne 87th Ave Ste 280, Vancouver, WA 98664 | 2015-04-10 |
| 1033504261 | Reid Roberts Bennett | Anesthesiology | 505 Ne 87th Ave Ste 210, Vancouver, WA 98664 | 2015-04-03 |
| 1235550856 | Nikolay Nikolaevich Chernukhin Jr. | Chiropractor | 221-a Ne 104th Ave, Suite 205, Vancouver, WA 98664 | 2013-12-27 |
| 1013278712 | Serena Harker | Physical Therapy Assistant | 221a Ne 104th Ave, Suite #205, Vancouver, WA 98664 | 2012-05-30 |
| 1295091080 | Rebeca C Johnson | Massage Therapist | 11015 Ne 4th Plain Suite B, Vancouver, WA 98664 | 2012-04-05 |
| Find all providers in zip 98664 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154862019 | Rajpaul Attariwala | Radiology | 1371 W Broadway, Vancouver, BC V6H1G9 | 2017-03-12 |
| 1801239595 | Phillip Adam Setran | Radiology | 4816 Ne Thurston Way Ste 2, Vancouver, WA 98662-6661 | 2013-04-11 |
| 1598993685 | Neha Sinha | Radiology | 700 Ne 87th Ave Ste 170, Vancouver, WA 98664-4896 | 2009-06-26 |
| 1114008737 | Advanced Medical Imaging Center LLC | Radiology | 16821 Se Mcgillivray Blvd, Vancouver, WA 98683-0499 | 2006-10-18 |
| 1376536656 | Janet Mendel-hartvig | Radiology | 505 Ne 87th Ave, Ste Ll50, Vancouver, WA 98664-1989 | 2005-08-23 |
| 1811992670 | Vancouver Radiologists A Professional Corp | Radiology | 4816 N.e. Thurston Way, Suite A, Vancouver, WA 98662 | 2005-06-17 |
| 1154325181 | John Wr Schroeder | Radiology | 4816a Ne Thurston Way, Vancouver, WA 98662 | 2005-06-08 |
| 1154942886 | Radia Imaging Center Holdings LLC | Radiology | 4816 Ne Thurston Way Ste A, Vancouver, WA 98662-6661 | 2020-05-05 |
| 1508132770 | Mckenna Lee Belzer | Radiology | 700 Ne 87th Ave Ste 170, Vancouver, WA 98664-4896 | 2012-03-31 |
| 1326294117 | Providence Health & Services Oregon | Radiology | 315 Se Stone Mill Dr, Suite 102, Vancouver, WA 98684-6987 | 2008-08-12 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on OPEN ADVANCED MRI OF VANCOUVER, LLC.
| 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.