Organization Active NPI

Columbia Pacific Imaging, Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Astoria, OR
National Provider Identifier
1831285501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
COLUMBIA PACIFIC IMAGING, INC
Practice address
2055 Exchange St Ste 170
Astoria, OR 97103-3419
Phone
(360) 699-8158
Fax
(360) 699-3372
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tracy Timmons
Title
Accounts Manager
Phone
(360) 699-8158

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

2055 Exchange St Ste 170
Astoria, OR 97103-3419

Mailing address

PO Box 5469
Vancouver, WA 98668-5469
Phone (360) 699-8158

Other identifiers 1

IdentifierTypeStateIssuer
071998MedicaidOR

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831285501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5469",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986685469",
            "telephone_number": "360-699-8158",
            "fax_number": "360-699-3372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 EXCHANGE ST STE 170",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971033419",
            "telephone_number": "360-699-8158",
            "fax_number": "360-699-3372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA PACIFIC IMAGING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TIMMONS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "ACCOUNTS MANAGER",
        "authorized_official_telephone_number": "360-699-8158"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "071998",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, OR

Sources for this page

  • 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.