Healthcare Provider Details

I. General information

NPI: 1346169968
Provider Name (Legal Business Name): PERK IMAGING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 NW LABICHE LN STE 150
BEND OR
97703-6750
US

IV. Provider business mailing address

2230 NW LABICHE LN STE 150
BEND OR
97703-6750
US

V. Phone/Fax

Practice location:
  • Phone: 541-407-7139
  • Fax:
Mailing address:
  • Phone: 541-407-7139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMANDA JOHNSON
Title or Position: FOUNDER/OWNER
Credential: FNP
Phone: 541-417-0701