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General NPI Number Information
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NPI Number | 1851217947
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Entity Type | Organization
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Legal Business Name | BRIDGEPORT MRI LLC
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Dates
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Enumeration Date | 06/24/2026
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Last Update Date | 06/24/2026
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Provider Practice Location Address
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Address Line | 7591 SW MOHAWK ST
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City | TUALATIN
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State | OR
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Zip | 97062-9189
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Country | US
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Telephone | 503-639-9700
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Fax | 503-639-9710
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Provider Business Mailing Address
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Address Line | 9200 SE 91ST AVE STE 330
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City | HAPPY VALLEY
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State | OR
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Zip | 97086-3756
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Country | US
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Telephone | 503-477-5733
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Fax | 503-477-5924
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Authorized Official
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Title or Position | CFO
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Name | DARCY E ORIN
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Credential |
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Telephone | 503-774-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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