Organization · Type 2 NPI

Providence Health & Services-Oregon

Radiologic Technologist · Vancouver, WA

NPI number 1073896551 Active

Practice location

315 SE Stone Mill Dr, Suite 102
Vancouver, WA 98684-6998

Call (360) 816-2733 Map

Fax (360) 816-2710

Mailing address

PO Box 3395
Portland, OR 97208-3395

Specialties and licenses

Taxonomy	Code	License
Radiologic Technologist Primary	247100000X	None listed

Radiologic Technologist: A medical imaging or radiation therapy professional who is appropriately educated and trained to perform medical imaging procedures using ionizing and nonionizing radiation.

7 other providers at this address

Other radiologic technologist providers in Vancouver

Kaiser Foundation Health Plan of the NorthwestRadiologic Technologist Vancouver, WA NPI 1386422996

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NPI record

NPI: 1073896551
Entity type: Organization (Type 2)
Issued: Sep 21, 2011
Last updated: Jan 11, 2012
Status: Active
Subpart: Yes of Providence Health & Services-Oregon

Other names

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Providence Radiology-Mill Plain · doing business as

Authorized official

Kathleen Dowling
Sys Dir RC Business Operations
(503) 215-4323

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073896551

Providence Health & Services-Oregon's National Provider Identifier is 1073896551, issued on Sep 21, 2011. The primary taxonomy on file is Radiologic Technologist (247100000X), and the practice location is in Vancouver, WA. The record was last updated on Jan 11, 2012.