OB GYN Breast Imaging PC

Primary specialty

Mammography Radiologic TechnologistTaxonomy code 2471M2300X

Legal business name

OB GYN BREAST IMAGING PC

Practice address

17050 Pilkington Rd
Suite 130
Lake Oswego, OR 97035-6306

Phone

(503) 579-5000

NPI assigned

Jul 7, 2015

Last updated

Jul 7, 2015By 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

Patrick Larson

Title

Office Manager

Phone

(503) 579-5000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

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.

• Amy Suzanne Thurmond, MD

  • Diagnostic Radiology Physician
  • Lake Oswego, OR
  • NPI 1487729281
  Medicare reassignment NPD

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

{
    "created_epoch": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1477936599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 SW OSPREY DR",
            "address_2": "SUITE 325",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970078028",
            "telephone_number": "503-579-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17050 PILKINGTON RD",
            "address_2": "SUITE 130",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970356306",
            "telephone_number": "503-579-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OB GYN BREAST IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "503-579-5000"
    },
    "taxonomies": [
        {
            "code": "2471M2300X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Mammography",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne O'Neill
• Morganne O'Neill, LMT
• Ivy O'Rourke, BT
• Cera Oakes
• Oakridge Medical Clinic
• Occupational Health Centers of the Southwest P.a.
• Shannon Odell, PSYD
• Odyssey Healthcare Operating a LP (Gentiva)
• Odyssey Science Innovations, LLC (Provata Health)
• Ofp LLC

• Radiologic Technologist in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Radiologic Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.