COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC


Address: 6958 Sw Varns St, Portland, OR 97223-0000
Phone: 5036837730

COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC (NPI# 1194282400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194282400
Entity Type Organization
Organization Name COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC
Practice Address 6958 Sw Varns St
Portland
OR 97223-0000
Mailing Address 4001 E Baseline Rd Ste 107
Gilbert
AZ 85234-2744
Practice Telephone 5036837730
Practice Fax Number 5039140927
Mailing Telephone 4803747354
Mailing Fax Number 4803711121
Enumeration Date 2019-02-22
Last Update Date 2019-02-22
Authorized Official Name JOEL R. RAINWATER (PRESIDENT)
Authorized Official Telephone 4803747354
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians

Other Provider/Organization Names

Other Name Type Code
Comprehensive Interventional Care Centers, PLLC - Portland Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629535091 Comprehensive Interventional Care Centers, Pllc Radiology 10555 N Tatum Blvd Ste A101, Paradise Valley, AZ 85253-1096 2019-02-21
1568965697 Comprehensive Interventional Care Centers, Pllc Radiology 4624 S Holladay Blvd Ste 202, Salt Lake City, UT 84117-7168 2018-03-15
1346707767 Comprehensive Interventional Care Centers, Pllc Podiatrist 14642 N Del Webb Blvd Ste 200, Sun City, AZ 85351-2102 2019-02-21
1235616152 Comprehensive Interventional Care Centers, Pllc Radiology 2301 N 4th St, Flagstaff, AZ 86004 2018-07-24
1881197523 Comprehensive Interventional Care Centers, Pllc Radiology 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 2018-03-08
1568803047 Comprehensive Interventional Care Centers, Pllc Radiology 4001 E Baseline Rd Ste 107, Gilbert, AZ 85234-2744 2013-07-11

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC 6958 Sw Varns St, Portland, OR 97223

Office Location

Street Address 6958 SW VARNS ST
City PORTLAND
State OR
Zip Code 97223-0000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1588283154 Pnw Management Group Radiology 6958 Sw Varns St, Portland, OR 97223-8281 2020-04-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760042618 Tess Ivie Manso Counselor 8915 Degrees Center St, Tigard, OR 97223 2019-06-13
1780141804 Amybrunermd LLC Obstetrics & Gynecology 6958 Sw Varns Street, Portland, OR 97223 2019-02-25
1417425034 Patience Marie Rutto Counselor 8915 Sw Center Streret, Tigard, OR 97223 2018-11-13
1871089581 Marina E Menegol Behavioral Analyst Center for Social Dynamics, 9115 Southwest Oleson Rd. Ste. 100, Portland, OR 97223 2018-07-05
1215423165 Katherine Virginia Eichner Psychologist 9860 Sw Hall Blvd Ste B, Tigard, OR 97223 2018-07-03
1043717390 Rayna Donnelly Physician Assistant 9735 Sw Shady Ln Ste 102, Tigard, OR 97223 2018-04-11
1376059725 Kaylie Marilyn Reyes Behavioral Analyst 9115 Sw Oleson Road, Portland, OR 97223 2017-12-21
1841704004 Kathleen Terrell Taylor Occupational Therapist 7320 Sw Hunziker, Suite 203, Tigard, OR 97223 2017-11-27
1487163036 Susie Riess Counselor 10763 Sw Greenburg Road, Suite 100, Tigard, OR 97223 2017-09-27
1043731243 Tam Nguyen Optometrist 8795 Sw Scholls Ferry Rd Ste 100, Tigard, OR 97223 2017-06-28
Find all providers in zip 97223

Taxonomy Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1538587118 Masahiro Horikawa Radiology 3155 Sw Moody Ave Apt 503, Portland, OR 97239-4733 2014-04-01
1073956991 Marc Michael Delrosario Lim Radiology 3181 Sw Sam Jackson Park Rd # L342, Portland, OR 97239-3011 2013-04-10
1588283154 Pnw Management Group Radiology 6958 Sw Varns St, Portland, OR 97223-8281 2020-04-13
1780149260 Radiology Professionals, P.a. Radiology 144 State Street, Portland, ME 04101-3776 2019-02-08
1669905261 Ningcheng Li Radiology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 2017-04-10
1669868741 Lisa Walker Radiology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2015-04-15
1336568369 Hasnain A Hasham Radiology 4805 Ne Glisan St Ste 11n, Portland, OR 97213-2933 2014-04-07
1689917866 Timothy Huber Radiology 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 2013-04-05
1396036620 Nutcha Pinjaroen Radiology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2011-04-20
1538468376 Kristen Lee Radiology 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 2011-03-18
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97223

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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