Col Northwest LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

COL NORTHWEST LLC

Doing business as

Clearview MRI Mt Scott

Practice address

9200 SE 91St Ave
Suite 330
Happy Valley, OR 97086-3756

Phone

(503) 774-7700

Fax

(503) 774-7701

NPI assigned

May 30, 2006

Last updated

Jan 18, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darcy E. Orin

Title

Ceo

Phone

(503) 774-7700

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Clearview MRI Mt Scott Doing business as

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Eastside Orthopedics & Sports Medicine, LLC

  • Orthopaedic Surgery Physician
  • Clackamas, OR
  • NPI 1225567928

  Member Of

  NPD member
• Oregon Orthopedic & Sports Medicine Clinic, LLP

  • Orthopaedic Surgery Physician
  • Oregon City, OR
  • NPI 1588762736

  Member Of

  NPD member

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Suzanne Thurmond, MD

  • Diagnostic Radiology Physician
  • Lake Oswego, OR
  • NPI 1487729281
  NPD
• Lisa Ona Ballehr, D.O.

  • Diagnostic Radiology Physician
  • Brentwood, TN
  • NPI 1417996018
  NPD
• Mohsin Yunus Ghadiali, M.D.

  • Diagnostic Radiology Physician
  • Kenosha, WI
  • NPI 1417272667
  NPD
• Roger Wayne Jordan Jr., MD

  • Diagnostic Radiology Physician
  • Rochester, MN
  • NPI 1073992566
  NPD
• Purvak Patel, M.D.

  • Diagnostic Radiology Physician
  • Wichita Falls, TX
  • NPI 1528293842
  NPD
• Prashant Vijay Shankar, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1134353378
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1023065307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 330",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-774-7700",
            "fax_number": "503-774-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 SE 91ST AVE",
            "address_2": "SUITE 330",
            "city": "HAPPY VALLEY",
            "state": "OR",
            "postal_code": "970863756",
            "telephone_number": "503-774-7700",
            "fax_number": "503-774-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COL NORTHWEST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-30",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A",
        "authorized_official_last_name": "ORIN",
        "authorized_official_first_name": "DARCY",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-774-7700"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276104",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview MRI Mt Scott",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clearview MRI Mt Scott",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terra Clark, LPC
• Co-Occurring Therapy, LLC
• Co-Occurring Therapy, LLC
• Quyen To Co, R.D.H
• Bernard David Cohen, R.PH.
• Gina Colaneri, LPC, CADC-II
• Ashley Cole
• Erin Elizabeth Collison, PTA
• Sean Conroy
• Constant Encouragement LLC

• Physiological Laboratory in Happy Valley, OR
• Providers in Happy Valley, OR by specialty
• Physiological Laboratory in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.