NPIMap

Organization Active NPI

Body Imaging PC

Doing business as Body Imaging Radiology

  • Diagnostic Radiology Physician
  • Beaverton, OR
National Provider Identifier
1649281692
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BODY IMAGING PC
Doing business as
Body Imaging Radiology
Practice address
1500 NW Bethany Blvd
Suite 100
Beaverton, OR 97006-5233
Phone
(503) 619-1100
Fax
(503) 619-1101
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Authorized official

Name
Mrs. Eileen Ruiz, RT
Title
Center Manager
Phone
(503) 619-1106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1500 NW Bethany Blvd
Suite 100
Beaverton, OR 97006-5233

Mailing address

PO Box 23200
Portland, OR 97281-3200
Phone (503) 619-1100

Other identifiers 1

IdentifierTypeStateIssuer
108639MedicaidOR

Other names 1

  • Body Imaging Radiology Doing business as

National Provider Directory

National Provider Directory

Locations

9370 SW Greenburg Rd
Ste J
Tigard, OR 97223
Phone (503) 246-6666

11920 SW Greenburg Rd
Ste 100
Tigard, OR 97223
Phone (503) 619-1100

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1649281692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23200",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972813200",
            "telephone_number": "503-619-1100",
            "fax_number": "503-619-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 NW BETHANY BLVD",
            "address_2": "SUITE 100",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970065233",
            "telephone_number": "503-619-1100",
            "fax_number": "503-619-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY IMAGING PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "CENTER MANAGER",
        "authorized_official_telephone_number": "503-619-1106",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RT"
    },
    "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": "108639",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Body Imaging Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 22, 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.

Verify at the official NPI Registry.