| NPI | 1932890043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELINA KOCHAROV DHUGA Coordinator 503-740-0987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335V00000X Portable X-Ray and/or Other Portable Diagnostic Imaging Supplier |
| Additional Taxonomies | 261QR0208X Clinic/Center, Radiology, Mobile |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-07-08 |