BRIDGEPORT MRI LLC (NPI# 1538107941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538107941 |
| Entity Type | Organization |
| Organization Name | BRIDGEPORT MRI LLC |
| Other Organization Name | CLEARVIEW MRI BRIDGEPORT |
| Practice Address |
15755 Sw Sequoia Pkwy Suite 100 Tigard OR 97224-7166 |
| Practice Telephone | 5036399700 |
| Practice Fax Number | 5036399710 |
| Mailing Telephone | 5036399700 |
| Mailing Fax Number | 5036399710 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2015-03-25 |
| Authorized Official Name | DARCY E. ORIN (MANAGING MEMBER) |
| Authorized Official Telephone | 5036399700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 293D00000X | Physiological Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 213180 | 05 |
| Other Name | Type Code |
|---|---|
| Clearview MRI Bridgeport | Doing Business As Name - Organization |
| Street Address |
15755 SW SEQUOIA PKWY SUITE 100 |
| City | TIGARD |
| State | OR |
| Zip Code | 97224-7166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919919 | Scott Roberts Grewe | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2005-08-11 |
| 1699241125 | Kayla Moody | Physician Assistant | 15755 Sw Sequoia Pkwy, Tigard, OR 97224-7166 | 2018-10-23 |
| 1972830685 | Tyrone Wei, D.c., D.a.c.b.r., L.l.c | Chiropractor | 15755 Sw Sequoia Pkwy, Suite 100, Tigard, OR 97224-7166 | 2009-11-17 |
| 1043492580 | Carmen M Jones | Physician Assistant | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2007-11-27 |
| 1386717882 | Christopher J Nanson | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2006-11-15 |
| 1548368012 | Orthopedics Northwest PC | Specialist | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2006-09-20 |
| 1891710869 | Mark Bastian Wagner | Specialist | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2006-07-12 |
| 1982636684 | Steven Leslie Yates | Physical Therapist | 15755 Sw Sequoia Pkwy, Tigard, OR 97224-7166 | 2006-07-06 |
| 1467454181 | Gregory W. Irvine | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Ste 200, Tigard, OR 97224-7166 | 2005-08-12 |
| 1457353179 | Robert Joseph Wilson | Orthopaedic Surgery | 15755 Sw Sequoia Pkwy, Suite 200, Tigard, OR 97224-7166 | 2005-08-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154973139 | Katherine Raineri | Psychologist | 7213 Sw Hazel Fern Rd, Tigard, OR 97224 | 2019-07-10 |
| 1871064618 | Stacey A Wenzel | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Rd.,suite 201, Tigard, OR 97224 | 2018-12-05 |
| 1376010090 | Meredith Rae Brezinski | Physical Therapist | 18019 Sw Boones Ferry Road, Tigard, OR 97224 | 2018-10-31 |
| 1649759358 | Viktoriya A Chiliy | Behavior Technician | 15290 Sw Royalty Parkway, Tigard, OR 97224 | 2018-08-13 |
| 1609384866 | Rachel E King | Physical Therapist | 18040 Sw Lower Boones Ferry Rd Ste 200, Tigard, OR 97224 | 2018-01-22 |
| 1689190134 | Isabelle Cooper Klee Caballero | Speech-Language Pathologist | 17020 Sw Upper Boones Ferry Road Suite 201, Tigard, OR 97224 | 2017-08-16 |
| 1427573146 | Breanna M Sandefur | Behavior Technician | 15290 Sw Royalty Pkwy, Tigard, OR 97224 | 2017-08-03 |
| 1083141196 | Krista Espenship | Registered Nurse | 8032 Sw Ashford St, Tigard, OR 97224 | 2017-05-19 |
| 1275067928 | Emily Elizabeth Myers | Behavioral Analyst | 15290 Royalty Parkway, Tigard, OR 97224 | 2017-04-19 |
| 1235684937 | Melanie Salvador | Nurse Practitioner | 15352 Sw Oakmont Pl, Tigard, OR 97224 | 2016-08-23 |
| Find all providers in zip 97224 | ||||
| Taxonomy Code | 293D00000X |
| Grouping | Laboratories |
| Classification | Physiological Laboratory |
| A laboratory that operates independently of a hospital and physician’s office to furnish physiological diagnostic services (e.g. EEG’s , EKG’s, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. |
| Notes: Source: Paraphrased from the Medicare Carrier Manual, Section 2070.5. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891213591 | Kevin Hoffman | Physiological Laboratory | 1001 Sw Emkay Dr, Bend, OR 97702-3663 | 2017-09-01 |
| 1801314620 | Trivek Health Solutions, Inc | Physiological Laboratory | 1001 Sw Emkay Dr Ste 100, Bend, OR 97702-3663 | 2017-08-31 |
| 1467881706 | Centersource Corporation | Physiological Laboratory | 2988 Nw Fairway Heights Dr, Bend, OR 97703-8334 | 2013-11-07 |
| 1295075125 | Clearview Mri LLC | Physiological Laboratory | 17885 Nw Evergreen Parkway, Suite 100, Beaverton, OR 97006 | 2013-03-01 |
| 1467601989 | Sleep Right Diagnostics LLC | Physiological Laboratory | 1023 Rio Glen Dr, Eugene, OR 97401-7803 | 2008-09-09 |
| 1891876546 | South Coast Radiologists | Physiological Laboratory | 2650 N 17th St, Coos Bay, OR 97420-2134 | 2006-10-18 |
| 1366985483 | Braincare, LLC | Physiological Laboratory | 111 Sw 5th Ave, Ste 3150 (unit 3142), Portland, OR 97204-3604 | 2016-11-21 |
| 1225306889 | Synergy Medical Systems, LLC | Physiological Laboratory | 2650 Suzanne Way, Suite 130, Eugene, OR 97408-7319 | 2011-12-09 |
| 1982984084 | New Schryver LLC | Physiological Laboratory | 17744 Ne San Rafael St, Gresham, OR 97230-5927 | 2011-08-19 |
| 1902090103 | Enhanced Medical Imaging of Coos Bay LLC | Physiological Laboratory | 2650 N 17th St, Coos Bay, OR 97420-2134 | 2007-08-30 |
| Find all providers with the same taxonomy | ||||
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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.