Healthcare Provider Details

I. General information

NPI: 1013989854
Provider Name (Legal Business Name): ONCOLOGY ASSOCIATES OF OREGON P C
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 COUNTRY CLUB
EUGENE OR
97401-6036
US

IV. Provider business mailing address

520 COUNTRY CLUB PKWY
EUGENE OR
97401-6036
US

V. Phone/Fax

Practice location:
  • Phone: 541-683-5001
  • Fax: 541-683-1422
Mailing address:
  • Phone: 541-683-5001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: TIM BUCY
Title or Position: MANAGED CARE MANAGER
Credential:
Phone: 541-683-5001