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Contact Information

HEAD & NECK IMAGING NORTHWEST, LLC
4035 12TH ST CUT OFF SE
SUITE 140
SALEM, OR97302-1764
 Phone: 503-391-2488
 Fax: 503-588-7454
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiology

261QR0200X 74 Radiation Therapy Center
Indicates primary specialty

NPI Profile & details for HEAD & NECK IMAGING NORTHWEST, LLC

NPI # 1598952699
LBN Legal business name HEAD & NECK IMAGING NORTHWEST, LLC
Authorized official WILLIAM BATEMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/02/2007
Last updated 10/02/2007 - About 19 years ago
Identifiers
OR License # 1302148-2
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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