Provider Demographics
NPI:1497752414
Name:ORVIS ENTERPRISES, INC
Entity Type:Organization
Organization Name:ORVIS ENTERPRISES, INC
Other - Org Name:ADVANCED 3D IMAGING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN, SONOGRAPHER
Authorized Official - Prefix:MRS
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:ORVIS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, RDMS
Authorized Official - Phone:541-779-0130
Mailing Address - Street 1:832 E MAIN ST
Mailing Address - Street 2:SUITE 4
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-7153
Mailing Address - Country:US
Mailing Address - Phone:541-779-0130
Mailing Address - Fax:541-773-3971
Practice Address - Street 1:832 E MAIN ST
Practice Address - Street 2:SUITE 4
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-7153
Practice Address - Country:US
Practice Address - Phone:541-779-0130
Practice Address - Fax:541-773-3971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR962822471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonographyGroup - Single Specialty