OB GYN BREAST IMAGING PC
NPI 1477936599
Radiologic Technologist - Mammography in Lake Oswego, OR
About Ob Gyn Breast Imaging Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OB GYN BREAST IMAGING PC (NPI 1477936599) is a healthcare organization registered as a mammography in Lake Oswego, Oregon and active in the NPI registry since July 2015. The organization lists Patrick Larson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ob Gyn Breast Imaging Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ob Gyn Breast Imaging PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ob Gyn Breast Imaging PC's NPI number?
The NPI number for Ob Gyn Breast Imaging PC is 1477936599. It was assigned to this organization in the NPPES registry on July 7, 2015.
Where is Ob Gyn Breast Imaging PC located?
Ob Gyn Breast Imaging PC is located at 17050 Pilkington Rd Suite 130, Lake Oswego, OR 97035. The listed phone number is (503) 579-5000.
What is Ob Gyn Breast Imaging PC's specialty?
The primary specialty registered for this NPI is Radiologic Technologist, specializing in Mammography, with taxonomy code 2471M2300X.
Is Ob Gyn Breast Imaging PC enrolled in Medicare?
Yes. Ob Gyn Breast Imaging PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ob Gyn Breast Imaging PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Ob Gyn Breast Imaging PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ob Gyn Breast Imaging PC was last updated on July 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ob Gyn Breast Imaging Pc · NPI 1477936599
Mammography organization in Lake Oswego, Oregon. Organization record, active in the CMS NPPES registry since July 7, 2015.
## Identity
- **NPI:** 1477936599 (Entity type: Organization)
- **Enumerated:** July 7, 2015
- **Primary specialty:** Radiologic Technologist - Mammography · taxonomy 2471M2300X
- **Organization subpart:** No
- **Authorized official:** Patrick Larson, OFFICE MANAGER
## Practice location
- **Address:** 17050 PILKINGTON RD, SUITE 130, Lake Oswego, OR 97035-6306
- **Phone:** (503) 579-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Diagnostic Radiology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1477936599) · Data from the CMS NPPES public registry.