PROFESSIONAL RADIOLOGY OF OREGON LLC; NPI #1790653863

Contact Information

PROFESSIONAL RADIOLOGY OF OREGON LLC

9115 SW OLESON RD
PORTLAND, OR 97223-6875

Phone: 954-927-1776
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiology	261QR0200X	74	Radiation Therapy Center

Indicates primary specialty

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NPI Profile & details for PROFESSIONAL RADIOLOGY OF OREGON LLC

NPI #	`1790653863`
LBN Legal business name	PROFESSIONAL RADIOLOGY OF OREGON LLC
Authorized official	MARK GRNJA - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	10/29/2025
Last updated	10/29/2025 - About 7 months ago
Identifiers	n/a

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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