NPI 1053368563

Diagnostic Radiologists PC

Organisation Diagnostic Radiology Physician Portland, OR

Practice location

Address: 10123 SE Market, Portland, OR 97216
Phone: (503) 251-6132
Fax: (503) 251-6136
Mailing address: PO Box 16961, Portland, OR 97292-0961

Authorised official

Name: Jed Russell Peterson
Title: President
Phone: (503) 251-6132

Registered specialties

Diagnostic Radiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in Oregon →

Registry record

NPI: 1053368563
Entity type: Organization
NPI issued: 28 May 2006
Record last updated: 29 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.