National Provider Identifier Database

SAFE HARBOR MEDICAL INCORPORATED
Magnetic Resonance Imaging (MRI)


Contact Information

SAFE HARBOR MEDICAL INCORPORATED
1026 NW SLERET AVE
GRESHAM, OR97030-5504
Phone: 503-776-0868
Fax: 855-940-1880
Website:
Specialty Taxonomy Code
* Magnetic Resonance Imaging (MRI) 261QM1200X

* Indicates primary specialty

NPI Profile & details for SAFE HARBOR MEDICAL INCORPORATED

NPI Number 1669037982
Legal business name
LBN
SAFE HARBOR MEDICAL INCORPORATED
Authorized official SIEGFRIED BERTHELSDORF - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 05/02/2019
Last updated 04/06/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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