Organization · Type 2 NPI

Legacy Mount Hood Medical Center

Diagnostic Radiology Physician · Gresham, OR

NPI number 1104834969 Active

Practice location

24800 SE Stark St
Gresham, OR 97030-3378

Call (503) 674-1233 Map

Fax (503) 674-1647

Mailing address

PO Box 10768
Portland, OR 97296-0768

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X14 1337 (OR)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

64 other providers at this address

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About NPI 1104834969

Legacy Mount Hood Medical Center's National Provider Identifier is 1104834969, issued on Aug 4, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Gresham, OR. The record was last updated on Aug 22, 2020.