| NPI | 1750611141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD CHRISTIAN BECKER Director Of Billing 971-224-2030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0208X Clinic/Center, Radiology, Mobile |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2010-01-06 |