Organization Name: | COLUMBIA RIVER RADIOLOGY, PC |
NPI Number: | 1053708297 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANDREW BOYER (OWNER) |
Mailing Address: | 1700 E 19th St The Dalles |
State: | OR US |
Postal Code: | 970583317 |
Phone Number: | 5412961111 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2015 |
NPI Last Update Date: | 04/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |