Provider Demographics
NPI:1003882986
Name:OREGON IMAGING, LP
Entity Type:Organization
Organization Name:OREGON IMAGING, LP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:ISUANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-544-5550
Mailing Address - Street 1:2600 N OREGON ST
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79902-3169
Mailing Address - Country:US
Mailing Address - Phone:915-544-5550
Mailing Address - Fax:915-544-8589
Practice Address - Street 1:2600 N OREGON ST
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79902-3170
Practice Address - Country:US
Practice Address - Phone:915-544-5550
Practice Address - Fax:915-544-8589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM95021388OtherNEW MEXICO MEDICAID
NM71633OtherPRESBYTERIAN
TX0207DCOtherBLUE CROSS BLUE SHIELD TX
TX=========OtherIDTF
TXFTX083Medicare ID - Type UnspecifiedIDTF