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PACIFIC ONCOLOGY PC NPI 1952314635


NPI Information

NPI: 1952314635
Provider Name: PACIFIC ONCOLOGY PC

Other Name: WILLIAM MOONEY MD

Classification: Non-Pharmacy Dispensing Site - 332900000X
Entity Type: Organization
Address:
5050 NE HOYT ST
STE 362
PORTLAND, OR
ZIP 97213
Phone: (503) 232-7000
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PACIFIC ONCOLOGY PC is a non pharmacy dispensing site in Portland, OR. The provider is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) PACIFIC ONCOLOGY PC NPI is 1952314635. The provider is registered as an organization entity type.
The provider Other Name Is William Mooney Md.

The provider's business location address is:

5050 NE HOYT ST
STE 362
PORTLAND, OR
ZIP 97213-991
Phone: (503) 232-7000
Fax: (503) 232-8266

The provider's authorized official is Patricia Cosgrove .
The authorized official title is Coo and has the following contact phone number (503) 203-1000.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 2/1/2008.


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
1332900000XNon-Pharmacy Dispensing Site26633OREGONYes

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
10000WFBBCMEDICARE ID-TYPE UNSPECIFIEDOREGON
20978250001MEDICARE NSCOREGON
33842398OTHEROTHER ID NUMBER-COMMERCIAL NUMBER
4054853MEDICAIDOREGON

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: 4/28/2024

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