Healthcare Provider Details
I. General information
NPI: 1013953025
Provider Name (Legal Business Name): OREGON ONCOLOGY SPECIALISTS, LLP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/20/2006
Last Update Date: 09/07/2023
Certification Date: 08/28/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
875 OAK ST SE SUITE 4030
SALEM OR
97301-3975
US
IV. Provider business mailing address
875 OAK ST SE SUITE 4030
SALEM OR
97301-3975
US
V. Phone/Fax
- Phone: 503-561-6444
- Fax: 503-561-6442
- Phone: 503-561-6444
- Fax: 503-561-6442
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RH0003X |
| Taxonomy | Hematology & Oncology Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RI0200X |
| Taxonomy | Infectious Disease Physician |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207RR0500X |
| Taxonomy | Rheumatology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
WILLIAM
CRAWFORD
PIERCE
Title or Position: PARTNER
Credential: M.D.
Phone: 503-561-6444