| NPI | 1790042695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT WESLEY SEAPY Owner 503-880-0612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: OR MD08338) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |