Open Advanced MRI of Gresham PS

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

MD00038333 Issued in WA

Legal business name

OPEN ADVANCED MRI OF GRESHAM PS

Doing business as

Permanently Closed

Practice address

1026 NW Sleret Ave
Gresham, OR 97030-5504

Phone

(503) 246-6666

Fax

(503) 246-9465

NPI assigned

May 22, 2013

Last updated

Aug 17, 2021By 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. Shaun Usher

Title

Operations Manager

Phone

(503) 246-6666

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• PERMANENTLY CLOSED Doing business as

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1801232483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9370 SW GREENBURG RD",
            "address_2": "STE J",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235408",
            "telephone_number": "503-246-6666",
            "fax_number": "503-246-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 NW SLERET AVE",
            "city": "GRESHAM",
            "state": "OR",
            "postal_code": "970305504",
            "telephone_number": "503-246-6666",
            "fax_number": "503-246-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN ADVANCED MRI OF GRESHAM PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-22",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "SHAUN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "503-246-6666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "WA",
            "license": "MD00038333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMANENTLY CLOSED",
            "identifier": "PERMANENTLY-CLOSED",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERMANENTLY CLOSED",
            "identifier": "PERMANENTLY-CLOSED",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PERMANENTLY CLOSED",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlyn Olson, PHARMD
• Susan E Omura, MD
• Raymond Shigeuki Onchi, DMD
• Ivyonne Onsongo
• Open Advanced MRI of Gresham LLC
• Kayla Opperman
• Optometric Care of Oregon (Mt Hood Vision Center)
• Julio A Ordonez, MD
• Oregon Eye Care, Inc.
• Oregon Eye Specialists (Sight Shop)

• Surgical Technologist in Gresham, OR
• Providers in Gresham, OR by specialty
• Surgical Technologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.