Willamette Valley Radiology

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

WILLAMETTE VALLEY RADIOLOGY

Practice address

1155 Mission St SE
Suite 105
Salem, OR 97302-6228

Phone

(503) 362-0254

Fax

(503) 362-1082

NPI assigned

Aug 25, 2006

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. Thomas Richard Chambers Jr., R.T.(R).

Title

General Manager

Phone

(503) 362-0254

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1942318613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 522",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973080522",
            "telephone_number": "503-362-0254",
            "fax_number": "503-362-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MISSION ST SE",
            "address_2": "SUITE 105",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973026228",
            "telephone_number": "503-362-0254",
            "fax_number": "503-362-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLAMETTE VALLEY RADIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMBERS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "503-362-0254",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "R.T.(R)."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022720",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Willamette Valley Psychological Services LLC
• Willamette Valley Treatment Center
• Willamette Valley Treatment Center, Inc.
• Willamette Valley Wellness LLC
• Willamette Vascular Specialists, PC
• Willamette Vision Center Inc (Family Focus Vision Source)

• Diagnostic Radiology Physician in Salem, OR
• Providers in Salem, OR by specialty
• Diagnostic Radiology Physician 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.