National Provider Identifier Database

OB GYN BREAST IMAGING PC
Mammography Radiologic Technologist

A radiologic technologist who specializes in mammography and is appropriately educated and trained, consistent with nationally recognized standards, state statute, and facility policy in performance of mammogram imaging, exam techniques, equipment protocols, radiation safety, and patient care.


Contact Information

OB GYN BREAST IMAGING PC
17050 PILKINGTON RD
SUITE 130
LAKE OSWEGO, OR97035-6306
Phone: 503-579-5000
Fax:
Website:
Specialty Taxonomy Code
* Mammography Radiologic Technologist 2471M2300X

* Indicates primary specialty

NPI Profile & details for OB GYN BREAST IMAGING PC

NPI Number 1477936599
Legal business name
LBN
OB GYN BREAST IMAGING PC
Authorized official PATRICK LARSON - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 07/07/2015
Last updated 07/07/2015 - About 11 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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