OrganizationActive
Medical Imaging Group, LLC
NPI 1043456643 · Radiology Clinic/Center · Tigard, OR
Provider details
- NPI number
- 1043456643
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- James Putnam, Pres
- License
- PENDING (OR)
Practice location
18040 Sw Lower Boones Ferry Road
Tigard, OR 97224
Phone: (503) 216-8440
Fax: (503) 292-0346
Mailing address
9400 Sw Barnes Rd
Portland, OR 97225-6608
Registry dates
- Enumerated
- 2009-01-02
- Last updated
- 2009-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.