Provider Demographics
NPI:1801841267
Name:WILLAMETTE VALLEY IMAGING, LLC
Entity Type:Organization
Organization Name:WILLAMETTE VALLEY IMAGING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:GARANT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-344-9500
Mailing Address - Street 1:3003 N DELTA HWY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97408-7104
Mailing Address - Country:US
Mailing Address - Phone:541-344-9500
Mailing Address - Fax:541-344-9510
Practice Address - Street 1:3003 N DELTA HWY
Practice Address - Street 2:SUITE 303
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97408-7104
Practice Address - Country:US
Practice Address - Phone:541-344-9500
Practice Address - Fax:541-344-9510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-24
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1200XAmbulatory Health Care FacilitiesClinic/CenterMagnetic Resonance Imaging (MRI)