Provider Demographics
NPI:1992854947
Name:PJS, LLC
Entity Type:Organization
Organization Name:PJS, LLC
Other - Org Name:NORTHWEST PRENATAL ULTRASOUND
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHIMMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-906-7892
Mailing Address - Street 1:12725 SW MILLIKAN WAY
Mailing Address - Street 2:SUITE 300
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-1678
Mailing Address - Country:US
Mailing Address - Phone:603-906-7892
Mailing Address - Fax:503-296-2160
Practice Address - Street 1:12725 SW MILLIKAN WAY
Practice Address - Street 2:SUITE 300
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-1678
Practice Address - Country:US
Practice Address - Phone:603-906-7892
Practice Address - Fax:503-296-2160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0200XAmbulatory Health Care FacilitiesClinic/CenterRadiology