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Physician Order Form – Imaging Services Diagnostic Imaging Services 3181 S.W. Sam Jackson Park Road, Portland OR[removed]Phone: [removed]Fax: [removed]
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Document Date: 2011-06-21 14:44:59


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File Size: 266,27 KB

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Company

PET / HCM 1499758 06 / /

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IndustryTerm

re-program device / insurance card / /

Person

Radiology Vascular Lab / /

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Position

Physician / REQUESTING PHYSICIAN INFORMATION Referring Physician / General / Customer Service Manager / Referring Physician / /

Product

Skullcandy G.I. Headphone/Headset / /

Technology

Ultrasound / Diagnostic Imaging / X-ray / MRI / Dialysis / /

URL

www.ohsuhealth.com/provider / /

SocialTag