Clearview Mri Gresham

LBN: Mountainview Mri Llc
Clearview Mri Gresham is an health care organization with primary practice located at 24076 Se Stark St Suite 180, Gresham OR 97030-3373. The organization recently has only one registered license in Laboratories / Physiological Laboratory, which is considered as the primary health care specialty. Mountainview Mri Llc can be contacted via phone (503) 661-6500, or through Orin, Darcy E. via phone (503) 661-6500.

Contact Information

Primary practice address
24076 Se Stark St Suite 180 Gresham OR 97030-3373
Phone: (503) 661-6500
Fax: (503) 661-6005
Website:
Map and Directions
Authorized official contact:
Name: Orin, Darcy E.
Phone: (503) 661-6500

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1104875053
LBN Legal business name Mountainview Mri Llc
DBA Doing business as Clearview Mri Gresham
Authorized official Orin, Darcy E.
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2006
Last updated Jan 18th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104875053 NPPES
Oregon MEDICAID 240114

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