OrganizationActive
Comprehensive Interventional Care Centers, PLLC
NPI 1194282400 · Vascular & Interventional Radiology Physician · Portland, OR
Provider details
- NPI number
- 1194282400
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Comprehensive Interventional Care Centers, PLLC
- Organization subpart
- Yes
- Authorized official
- Joel Rainwater, President(480) 374-7354
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
6958 Sw Varns St
Portland, OR 97223-0000
Phone: (503) 683-7730
Fax: (503) 914-0927
Approximate (ZIP-level) locationGet directions
Mailing address
4001 E Baseline Rd Ste 107
Gilbert, AZ 85234-2744
Other names (DBA / former)
- Doing business as
- Comprehensive Interventional Care Centers, PLLC - Portland
Registry dates
- Enumerated
- 2019-02-22
- Last updated
- 2019-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.