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General NPI Number Information
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NPI Number | 1598095838
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Entity Type | Organization
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Legal Business Name | PACIFIC MEDICAL IMAGING, INC.
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 12180 SE GREINER LN
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6366
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Country | US
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Telephone | 503-762-2842
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Fax | 503-719-7956
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Provider Business Mailing Address
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Address Line | 12180 SE GREINER LN
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-6366
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Country | US
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Telephone | 503-762-2842
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Fax | 503-719-7956
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Authorized Official
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Title or Position | PRESIDENT, CEO
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Name | MR. RICHARD BUNTE
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Credential |
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Telephone | 503-730-0811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State |
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