Oregon Open MRI

Primary specialty

Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X

License

971 Issued in OR

Legal business name

OREGON OPEN MRI

Doing business as

Rendleton Open MRI LLC

Practice address

1100 Southgate
Ste 8
Pendleton, OR 97801-3974

Phone

(541) 276-1142

Fax

(541) 276-1143

NPI assigned

Nov 9, 2005

Last updated

Aug 22, 2020By 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

Mr. Donald A Zummer

Title

Managing Partner

Phone

(877) 630-9804

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rendleton Open MRI LLC Doing business as

Locations

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730160540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2784 12TH ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973023159",
            "telephone_number": "877-630-9804",
            "fax_number": "503-586-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHGATE",
            "address_2": "STE 8",
            "city": "PENDLETON",
            "state": "OR",
            "postal_code": "978013974",
            "telephone_number": "541-276-1142",
            "fax_number": "541-276-1143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREGON OPEN MRI",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ZUMMER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "877-630-9804",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "OR",
            "license": "971",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134458",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rendleton Open MRI LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew James Odland, D.O.
• Charles Lwanga Olaly, PHARMD
• Dakota Kristin Olson
• Josephina Orchard
• Oregon Department of Corrections
• Oregon Washington Health Network (COPES Clinic)
• Osoa Therapy
• Jessamy J Otteson
• Todd J Oyama, DMD
• Ashlee E.J. Palacios

• Magnetic Resonance Imaging Radiologic Technologist in Pendleton, OR
• Providers in Pendleton, OR by specialty
• Magnetic Resonance Imaging Radiologic Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.