OB GYN Breast Imaging PC
NPI 1477936599ActiveOrganization· Radiologic Technologist, Mammography· Lake Oswego, OR
Radiologic Technologist, Mammography in Lake Oswego, Oregon, registered in NPPES in July 2015. The authorized official on file is Patrick Larson, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1477936599 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2015 |
| Last updated in NPPES | Jul 7, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiologic Technologist, Mammography Primary | 2471M2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (OR) |
|---|