Organization · Type 2 NPI

Comprehensive Interventional Care Centers, PLLC

Vascular & Interventional Radiology Physician · Portland, OR

NPI number 1194282400 Active

Practice location

6958 SW Varns St
Portland, OR 97223-0000

Call (503) 683-7730 Map

Fax (503) 914-0927

Mailing address

4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744

Specialties and licenses

Taxonomy	Code	License
Vascular & Interventional Radiology Physician Primary	2085R0204X	None listed

Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.

3 other providers at this address

Other vascular & interventional radiology physician providers in Portland

PNW Management GroupVascular & Interventional Radiology Physician Portland, OR NPI 1588283154

See all in Portland →

NPI record

NPI: 1194282400
Entity type: Organization (Type 2)
Issued: Feb 22, 2019
Last updated: Feb 22, 2019
Status: Active
Subpart: Yes of Comprehensive Interventional Care Centers, PLLC

Other names

Comprehensive Interventional Care Centers, PLLC - Portland · doing business as

Authorized official

Joel R. Rainwater, MD
President
(480) 374-7354

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.

Is this your record? How to update it.

About NPI 1194282400

Comprehensive Interventional Care Centers, PLLC's National Provider Identifier is 1194282400, issued on Feb 22, 2019. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Portland, OR. The record was last updated on Feb 22, 2019.