Healthcare Provider Details
I. General information
NPI: 1649206780
Provider Name (Legal Business Name): OREGON ONCOLOGY SPECIALISTS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2006
Last Update Date: 03/10/2020
Certification Date: 03/10/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2700 SE STRATUS AVE SUITE A
MCMINNVILLE OR
97128-6255
US
IV. Provider business mailing address
875 OAK ST SE SUITE 4030
SALEM OR
97301-3975
US
V. Phone/Fax
- Phone: 503-435-6590
- Fax: 503-435-6591
- Phone: 503-561-6444
- Fax: 503-561-6440
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
PIERCE
Title or Position: PARTNER
Credential: M.D.
Phone: 503-561-6444