Willamette Open Imaging, LLC

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

WILLAMETTE OPEN IMAGING, LLC

Practice address

2480 Liberty St NE
Ste. 110
Salem, OR 97301-8380

Phone

(503) 581-2021

Fax

(503) 581-2045

NPI assigned

Jun 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Richard Bennett

Title

Managing Member

Phone

(503) 581-2021

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1790726636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE",
            "address_2": "STE. 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018380",
            "telephone_number": "503-581-2021",
            "fax_number": "503-581-2045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LIBERTY ST NE",
            "address_2": "STE. 110",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973018380",
            "telephone_number": "503-581-2021",
            "fax_number": "503-581-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE OPEN IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "503-581-2021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Willamette Education Service District
• Willamette Education Service District
• Willamette Education Service District
• Willamette Family Medical Center Inc
• Willamette Occupational Health Systems, Inc.
• Willamette Orthopedic Group LLC
• Willamette Orthopedic Group LLC
• Willamette Orthotics & Prosthetics LLC
• Willamette Sign Language Interpreting Service
• Willamette Sleep Solutions LLC

• Radiology Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Radiology Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; 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.