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Contact Information

ADAM R KELLEY
2604 S MAIN RD
LEBANON, OR97355-2338
 Phone: 541-570-1728
 Fax: 541-405-4020
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for

NPI Number 1225529720
Entity Organization
Organization subpart 1 Not specified
Enumeration date 05/21/2018
Last updated 05/21/2018 - About 8 years ago
Identifiers
OR License # 619337-93
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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