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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Comprehensive Interventional Care Centers, PLLC - Portland | Doing Business As Name - Organization |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Oregon Corporations, Companies and Business Names | COMPREHENSIVE INTERVENTIONAL CARE CENTERS, PLLC | 6958 Sw Varns St, Portland, OR 97223 |
Street Address |
6958 SW VARNS ST |
City | PORTLAND |
State | OR |
Zip Code | 97223-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588283154 | Pnw Management Group | Radiology | 6958 Sw Varns St, Portland, OR 97223-8281 | 2020-04-13 |
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 Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
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. |
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 |
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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.