NPIMap

Organization Active NPI

NW Mobile Radiology

  • Mobile Radiology Clinic/Center
  • Beaverton, OR
National Provider Identifier
1750611141
Registry record updated Jan 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
Legal business name
NW MOBILE RADIOLOGY
Practice address
6140 SW Arctic Dr
Beaverton, OR 97005-9448
Phone
(877) 786-9729
Fax
(503) 646-7036
NPI assigned
Jan 6, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2010

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

Authorized official

Name
Mr. Chad Christian Becker
Title
Director of Billing
Phone
(971) 224-2030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X Primary

Addresses

Primary practice location

6140 SW Arctic Dr
Beaverton, OR 97005-9448

Mailing address

25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697
Phone (877) 786-9729

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262736000000",
    "number": "1750611141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697",
            "telephone_number": "877-786-9729",
            "fax_number": "503-646-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6140 SW ARCTIC DR",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970059448",
            "telephone_number": "877-786-9729",
            "fax_number": "503-646-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NW MOBILE RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-06",
        "last_updated": "2010-01-06",
        "status": "A",
        "authorized_official_last_name": "BECKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "CHRISTIAN",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "971-224-2030",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 6, 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.