SIKER IMAGING WEST, LLC (NPI# 1356685010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356685010 |
| Entity Type | Organization |
| Organization Name | SIKER IMAGING WEST, LLC |
| Practice Address |
9775 Sw Wilshire St Suite 100 Portland OR 97225-5067 |
| Mailing Address |
1800 Ne 2nd Ave Portland OR 97212-3932 |
| Practice Telephone | 5035953967 |
| Practice Fax Number | 5035953937 |
| Mailing Telephone | 5035953967 |
| Mailing Fax Number | 5035953937 |
| Enumeration Date | 2012-11-19 |
| Last Update Date | 2012-11-19 |
| Authorized Official Name | DR. DAVID A. SIKER (MANAGING MEMBER) |
| Authorized Official Telephone | 5035953967 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD22182 | OR | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SIKER IMAGING WEST, LLC | 9775 Sw Wilshire St, Ste 100, Portland, OR 97225 |
| Street Address |
9775 SW WILSHIRE ST SUITE 100 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97225-5067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508872607 | Erin Montgomery | Physician Assistant | 9775 Sw Wilshire St, Suite 200, Portland, OR 97225-5067 | 2006-07-31 |
| 1417278011 | Wilshire Surgery Center, LLC | Clinic/Center | 9775 Sw Wilshire St, Suite 250, Portland, OR 97225-5020 | 2010-06-17 |
| 1396867719 | Rachel E Streu | Surgery | 9775 Sw Wilshire St, Suite 200, Portland, OR 97225-5067 | 2007-04-05 |
| 1902995194 | Kathleen Anne Waldorf | Specialist | 9775 Sw Wilshire St, Suite 200, Portland, OR 97225 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508425034 | Gabrielle Gonzales | Behavior Technician | 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 | 2019-06-08 |
| 1558844555 | Tate Roseberry | Behavior Technician | 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 | 2018-09-14 |
| 1982186300 | Dean Alan Hopkins | Registered Nurse | 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 | 2018-09-01 |
| 1316449168 | Surgery Center At St. Vincent, LLC | Clinic/Center | 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 | 2018-03-07 |
| 1730606716 | Meghan Louise Lacy | Pediatrics | 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 | 2017-08-29 |
| 1841733433 | Tia Pugh | Occupational Therapist | 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 | 2016-11-30 |
| 1295185585 | Stephanie Lynn Hart | Nurse Practitioner | 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 | 2016-06-16 |
| 1962866244 | Bejian Shamloo | Chiropractor | 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 | 2016-04-12 |
| 1992162630 | Robert Joseph Yoder | Psychologist | 9045 Barnes Rd, Portland, OR 97225 | 2016-01-26 |
| 1316303951 | Katie Herold | Chiropractor | 9315 Sw Morrison St, Portland, OR 97225 | 2016-01-12 |
| Find all providers in zip 97225 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| 1639313273 | David Pettersson | Radiology | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-27 |
| 1629276191 | Joe Mun-jung Chan | Radiology | 3181 Sw Sam Jackson Park Rd # L-340, Portland, OR 97239-3011 | 2007-07-06 |
| 1194846345 | Jay H Donohoo | Radiology | 01641 Sw Comus St, Portland, OR 97219-7858 | 2007-04-03 |
| 1851458046 | Summit Radiology Inc | Radiology | 1243 Sw Texas St, Portland, OR 97219-2046 | 2007-01-03 |
| 1376600064 | Jeffrey Terrance Hal | Radiology | 1926 W Burnside St, Unit 1604, Portland, OR 97209-2066 | 2007-01-02 |
| 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.