Active NPI
Ultrasound Northwest of Oregon LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Beaverton, OR
National Provider Identifier
1396792123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Legal business name
- ULTRASOUND NORTHWEST OF OREGON LLC
- Practice address
- 6140 SW Arctic Dr
Beaverton, OR 97005-9448 - Phone
- (503) 646-7777
- Fax
- (503) 646-7036
- NPI assigned
- May 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Darren Glassman
- Title
- President
- Phone
- (503) 646-7777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 335V00000X | Primary |
Addresses
Primary practice location
6140 SW Arctic Dr
Beaverton, OR 97005-9448
Mailing address
PO Box 66500
Portland, OR 97290-6500
Phone (503) 657-8663
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 240704 | Medicaid | OR | |
| P00126182 | Other | OR | MEDCIARE RAILROAD |
| 1396792123 | Other | OR | NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
6140 SW Arctic Dr
Beaverton, OR 97005
Phone (503) 646-7777
6160 SW Arctic Dr
Beaverton, OR 97005
Phone (503) 646-7777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195084800000",
"number": "1396792123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 66500",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972906500",
"telephone_number": "503-657-8663",
"fax_number": "503-723-3180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6140 SW ARCTIC DR",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970059448",
"telephone_number": "503-646-7777",
"fax_number": "503-646-7036"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTRASOUND NORTHWEST OF OREGON LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-27",
"last_updated": "2007-11-15",
"status": "A",
"authorized_official_last_name": "GLASSMAN",
"authorized_official_first_name": "DARREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-646-7777"
},
"taxonomies": [
{
"code": "335V00000X",
"taxonomy_group": "",
"desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "240704",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCIARE RAILROAD",
"identifier": "P00126182",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1396792123",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
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 Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.