Organization Active NPI

Diagnostic Oregon Image Inc

  • General Practice Physician
  • Portland, OR
National Provider Identifier
1497070692
Registry record updated Mar 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
DIAGNOSTIC OREGON IMAGE INC
Practice address
1441 SE 122ND Ave
Suite H
Portland, OR 97233-1270
Phone
(360) 550-8006
NPI assigned
Mar 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2010

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

Authorized official

Name
Karen Khanoyan
Title
Owner
Phone
(360) 550-8006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1441 SE 122ND Ave
Suite H
Portland, OR 97233-1270

Mailing address

1441 SE 122ND Ave
Suite H
Portland, OR 97233-1270
Phone (360) 550-8006

National Provider Directory

National Provider Directory

Locations

1441 SE 122nd Ave
Ste H
Portland, OR 97233
Phone (360) 550-8006

NPI Registry JSON

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269907200000",
    "number": "1497070692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 SE 122ND AVE",
            "address_2": "SUITE H",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331270",
            "telephone_number": "360-550-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 SE 122ND AVE",
            "address_2": "SUITE H",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972331270",
            "telephone_number": "360-550-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC OREGON IMAGE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-30",
        "last_updated": "2010-03-30",
        "status": "A",
        "authorized_official_last_name": "KHANOYAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-550-8006"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.

Verify at the official NPI Registry.