NPIMap

Organization Active NPI

Providence Health & Services-Oregon

Doing business as Providence Radiology-Battleground

  • Radiologic Technologist
  • Battle Ground, WA
National Provider Identifier
1205119781
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiologic TechnologistTaxonomy code 247100000X
Legal business name
PROVIDENCE HEALTH & SERVICES-OREGON
Doing business as
Providence Radiology-Battleground
Practice address
101 NW 12TH Ave
Suite 107
Battle Ground, WA 98604-9141
Phone
(360) 687-6655
Fax
(360) 687-6669
NPI assigned
Sep 21, 2011
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
PROVIDENCE HEALTH & SERVICES-OREGONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Kathleen Dowling
Title
Sys Dir RC Business Operations
Phone
(503) 215-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X WA Primary

Addresses

Primary practice location

101 NW 12TH Ave
Suite 107
Battle Ground, WA 98604-9141

Mailing address

PO Box 3395
Portland, OR 97208-3395
Phone (503) 215-4323

Other names 1

  • Providence Radiology-Battleground Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Paul Dodge10 organizations share this tax ID, including this one
Part of
Providence Hood River Memorial Hospital Pharmacy

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1205119781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3395",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083395",
            "telephone_number": "503-215-4323",
            "fax_number": "503-215-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW 12TH AVE",
            "address_2": "SUITE 107",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049141",
            "telephone_number": "360-687-6655",
            "fax_number": "360-687-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HEALTH & SERVICES-OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROVIDENCE HEALTH & SERVICES-OREGON",
        "enumeration_date": "2011-09-21",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "DOWLING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "SYS DIR RC BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "503-215-4323"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Providence Radiology-Battleground",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Battle Ground, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.