OrganizationActive
Pnw Management Group
NPI 1588283154 · Vascular & Interventional Radiology Physician · Portland, OR
Provider details
- NPI number
- 1588283154
- Entity type
- Organization
- Primary specialty
- Vascular & Interventional Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mary Costantino, Physician Owner(503) 683-7730
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
6958 Sw Varns St
Portland, OR 97223-8281
Phone: (503) 683-7730
Fax: (503) 914-0927
Street-level locationGet directions
Mailing address
6958 Sw Varns St
Portland, OR 97223-8281
Other names (DBA / former)
- Doing business as
- Advanced Vascular Centers Portland
Registry dates
- Enumerated
- 2020-04-13
- Last updated
- 2022-01-26
- Certified
- 2022-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.