OrganizationActive
Diagnostic Radiologists PC
NPI 1053368563 · Diagnostic Radiology Physician · Portland, OR
Provider details
- NPI number
- 1053368563
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jed Peterson, President(503) 251-6132
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10123 Se Market
Portland, OR 97216
Phone: (503) 251-6132
Fax: (503) 251-6136
Street-level locationGet directions
Mailing address
Po Box 16961
Portland, OR 97292-0961
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2024-10-29
- Certified
- 2024-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.