| Diagnostic Oregon Image Inc | |
|
1441 Se 122nd Ave Suite H Portland OR 97233-1270 | |
| (360) 550-8006 | |
| Not Available |
| Full Name | Diagnostic Oregon Image Inc |
|---|---|
| Speciality | General Practice |
| Location | 1441 Se 122nd Ave, Portland, Oregon |
| Authorized Official Name and Position | Karen Khanoyan (OWNER) |
| Authorized Official Contact | 3605508006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diagnostic Oregon Image Inc 1441 Se 122nd Ave Suite H Portland OR 97233-1270 Ph: (360) 550-8006 | Diagnostic Oregon Image Inc 1441 Se 122nd Ave Suite H Portland OR 97233-1270 Ph: (360) 550-8006 |
| NPI Number | 1497070692 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497070692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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