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General NPI Number Information
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NPI Number | 1346169968
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Entity Type | Organization
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Legal Business Name | PERK IMAGING LLC
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 2230 NW LABICHE LN STE 150
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City | BEND
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State | OR
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Zip | 97703-6750
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Country | US
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Telephone | 541-407-7139
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Fax |
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Provider Business Mailing Address
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Address Line | 2230 NW LABICHE LN STE 150
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City | BEND
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State | OR
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Zip | 97703-6750
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Country | US
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Telephone | 541-407-7139
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | AMANDA JOHNSON
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Credential | FNP
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Telephone | 541-417-0701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0200X
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Taxonomy Name | Radiology Clinic/Center
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License Number |
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License Number State |
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