CANCER CARE OF SOUTHERN OREGON NPI 1104082577

NPI Information

NPI: 1104082577
Provider Name: CANCER CARE OF SOUTHERN OREGON
Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
2900 DOCTORS PARK DR
MEDFORD, OR
ZIP 97504
Phone: (541) 282-2208
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CANCER CARE OF SOUTHERN OREGON is a radiation oncology radiology in Medford, OR. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. CANCER CARE OF SOUTHERN OREGON NPI is 1104082577. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2900 DOCTORS PARK DR
MEDFORD, OR
ZIP 97504-198
Phone: (541) 282-2208
Fax: (541) 282-2237

The provider's authorized official is Carol A Flinn .
The authorized official title is Ceo and has the following contact phone number (541) 282-2208.

The enumeration date for this NPI number is 8/5/2008 and was last updated on 8/5/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0001X	Radiology	Radiation Oncology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	R105049	MEDICARE PIN	OREGON

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

NPI Synchronization or Removal

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