Exiges Imaging, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

EXIGES IMAGING, LLC

Practice address

25115 SW Parkway Ave Ste B
Wilsonville, OR 97070-8891

Phone

(503) 570-3405

NPI assigned

Jun 25, 2020

Last updated

Aug 25, 2022By 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

Rick McDaniel

Title

Manager

Phone

(503) 705-4962

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

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.

• Mary E. Kofstad, MSN-FNP

  • Family Nurse Practitioner
  • Billings, MT
  • NPI 1104086065
  NPD (past)

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1467079434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25115 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708891",
            "telephone_number": "503-570-3405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25115 SW PARKWAY AVE STE B",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970708891",
            "telephone_number": "503-570-3405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXIGES IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "MCDANIEL",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-705-4962"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Evangelista
• Brenda Evans, CSWA
• Evergreen Counseling and Consultation
• Everlight Hospice LLC
• Laurel Plahuta Ewing, APN-CFNP
• Exiges Lab, LLC
• Exiges Ultrasound, LLC
• Eye Health Northwest, P.C.
• Nicholas Michael Fairall, LMT
• Emery James Fairchild, PTA

• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.