CLACKAMAS RADIATION ONCOLOGY CENTER NPI 1053649475

NPI Information

  • NPI: 1053649475
  • Provider Name: CLACKAMAS RADIATION ONCOLOGY CENTER
  • Classification: Clinic/Center - 261QX0203X
  • Specialization: Oncology, Radiation
  • Entity Type: Organization
  • Address: 9280 SE SUNNYBROOK BLVD
    SUITE 100
    CLACKAMAS, OR
    ZIP 97015
  • Phone: (503) 215-1837

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NPI Details

CLACKAMAS RADIATION ONCOLOGY CENTER is an oncology and radiation clinic center in Clackamas, OR. CLACKAMAS RADIATION ONCOLOGY CENTER NPI is 1053649475. The provider is registered as an organization entity type.

The provider's business location address is:

9280 SE SUNNYBROOK BLVD
SUITE 100
CLACKAMAS, OR
ZIP 97015-899
Phone: (503) 215-1837
Fax: (503) 215-3687

The provider's authorized official is Alice Wang-chesebro .
The authorized official title is Medical Director and has the following contact phone number (503) 513-3300.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct guidance for insertion of radiation therapy fields (HCPCS:77014)
  • Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session (HCPCS:G6015)
  • Continuing radiation therapy consultation per week (HCPCS:77336)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 6-10 mev (HCPCS:G6012)
  • Calculation of radiation therapy dose (HCPCS:77300)
  • Design and construction of complex radiation treatment device (HCPCS:77334)
  • Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19 mev (HCPCS:G6013)
  • Design and construction of radiation treatment device for high precision radiation therapy (HCPCS:77338)
  • High precision radiation therapy planning (HCPCS:77301)
  • Obtaining data needed to develop the optimal radiation treatment, 3 or more treatment areas or any number of treatment areas where special treatment is involved (HCPCS:77290)
  • Obtaining data needed to develop the optimal radiation treatment, 1 treatment area (HCPCS:77280)
  • 3d radiation therapy planning (HCPCS:77295)

The enumeration date for this NPI number is 11/23/2009 and was last updated on 10/31/2024.

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
1261QX0203XClinic/CenterOncology, RadiationNo
2261QX0203XClinic/CenterOncology, RadiationOREGONYes

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: 11/21/2025

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