Healthcare Provider Details

I. General information

NPI: 1003882986
Provider Name (Legal Business Name): OREGON IMAGING, LP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 N OREGON ST
EL PASO TX
79902-3170
US

IV. Provider business mailing address

2600 N OREGON ST
EL PASO TX
79902-3169
US

V. Phone/Fax

Practice location:
  • Phone: 915-544-5550
  • Fax: 915-544-8589
Mailing address:
  • Phone: 915-544-5550
  • Fax: 915-544-8589

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: MRS. DEBORAH D ISUANI
Title or Position: OWNER
Credential:
Phone: 915-544-5550