Healthcare Provider Details
I. General information
NPI: 1417501420
Provider Name (Legal Business Name): OARM SERVICES OF OREGON PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2019
Last Update Date: 11/27/2023
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1713 SW 24TH ST
PENDLETON OR
97801-4330
US
IV. Provider business mailing address
1044 JACKSON FELTS RD
JOELTON TN
37080-4839
US
V. Phone/Fax
- Phone: 541-304-2264
- Fax:
- Phone: 615-746-4711
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
GREG
MERRILL
Title or Position: PRESIDENT
Credential:
Phone: 615-746-4711