NPIMap

Organization Active NPI

Clearview MRI LLC

Doing business as Clearview MRI Cornell

  • Physiological Laboratory
  • Beaverton, OR
National Provider Identifier
1295075125
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
Legal business name
CLEARVIEW MRI LLC
Doing business as
Clearview MRI Cornell
Practice address
17885 NW Evergreen Parkway
Suite 100
Beaverton, OR 97006
Phone
(503) 774-7700
Fax
(503) 774-7701
NPI assigned
Mar 1, 2013
Last updated
Jan 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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

Authorized official

Name
Ms. Darcy E Orin
Title
Ceo
Phone
(503) 774-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X Primary

Addresses

Primary practice location

17885 NW Evergreen Parkway
Suite 100
Beaverton, OR 97006

Mailing address

17885 NW Evergreen Parkway
Suite 100
Beaverton, OR 97006
Phone (503) 746-7858

Other names 1

  • Clearview MRI Cornell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130823001097 OR Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 8527201490 Practice locations: Beaverton, OR

National Provider Directory

National Provider Directory

Member of 1

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

Locations

17885 NW Evergreen Pl
Ste 100
Beaverton, OR 97006
Phone (503) 746-7858

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674000000000",
    "number": "1295075125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17885 NW EVERGREEN PARKWAY",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-746-7858",
            "fax_number": "503-746-7905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17885 NW EVERGREEN PARKWAY",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-774-7700",
            "fax_number": "503-774-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVIEW MRI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-01",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clearview MRI Cornell",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clearview MRI Cornell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beaverton, OR

Sources for this page

  • 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.