Active NPI
Oregon Coast Radiology PC
- Diagnostic Radiology Physician
- Seaside, OR
National Provider Identifier
1437171469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- OREGON COAST RADIOLOGY PC
- Practice address
- 725 S Wahanna Rd
Seaside, OR 97138-7735 - Phone
- (503) 885-2600
- Fax
- (503) 885-8833
- NPI assigned
- Jul 25, 2006
- Last updated
- Dec 21, 2010
- 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
- Laura Howard
- Title
- Accounts Manager
- Phone
- (503) 885-2600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
725 S Wahanna Rd
Seaside, OR 97138-7735
Mailing address
PO Box 3610
Tualatin, OR 97062-3610
Phone (503) 885-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071071 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
725 S Wahanna Rd
#A
Seaside, OR 97138
Phone (503) 717-7242
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292889600000",
"number": "1437171469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3610",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970623610",
"telephone_number": "503-885-2600",
"fax_number": "503-885-8833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 S WAHANNA RD",
"city": "SEASIDE",
"state": "OR",
"postal_code": "971387735",
"telephone_number": "503-885-2600",
"fax_number": "503-885-8833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OREGON COAST RADIOLOGY PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-25",
"last_updated": "2010-12-21",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "LAURA",
"authorized_official_title_or_position": "ACCOUNTS MANAGER",
"authorized_official_telephone_number": "503-885-2600"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "071071",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seaside, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.