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PACIFIC ONCOLOGY PC NPI 1043262116


NPI Information

NPI: 1043262116
Provider Name: PACIFIC ONCOLOGY PC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
15700 SW GREYSTONE CT
BEAVERTON, OR
ZIP 97006
Phone: (503) 203-1000
Get Directions

PACIFIC ONCOLOGY PC is a hematology and oncology internal medicine in Beaverton, OR. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. PACIFIC ONCOLOGY PC NPI is 1043262116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15700 SW GREYSTONE CT
BEAVERTON, OR
ZIP 97006-011
Phone: (503) 203-1000
Fax: (503) 203-1010

The provider's authorized official is William M Mooney .
The authorized official title is President, Ceo and has the following contact phone number (503) 203-1000.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 2/13/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyNo
22085R0202XRadiologyDiagnostic RadiologyNo
3207RH0003XInternal MedicineHematology & OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CV0082OTHEROREGONRR MEDICARE GROUP NUMBER
20000WFBBCMEDICARE ID-TYPE UNSPECIFIEDOREGONOR MEDICARE GROUP
3130430MEDICAIDOREGON
47084056MEDICAIDWASHINGTON
58854953MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONWA MEDICARE GROUP
60978250002MEDICARE NSCOREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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