OrganizationActive
Portland Medical Imaging LLC
NPI 1932162906 · Body Imaging Physician · Portland, OR
Provider details
- NPI number
- 1932162906
- Entity type
- Organization
- Primary specialty
- Body Imaging PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ronald Kizziar, Administrative Director(503) 215-8900
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Neuroradiology Physician2085N0700X
Allopathic & Osteopathic Physicians
- Pediatric Radiology Physician2085P0229X
Allopathic & Osteopathic Physicians
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
- Diagnostic Ultrasound Physician2085U0001X
Allopathic & Osteopathic Physicians
Practice location
10538 Se Washington St
Portland, OR 97216-2809
Phone: (503) 215-8900
Fax: (503) 215-8920
Approximate (ZIP-level) locationGet directions
Mailing address
10538 Se Washington St
Portland, OR 97216-2809
Registry dates
- Enumerated
- 2006-04-10
- Last updated
- 2007-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.