Bay Area Radiation Oncology Pc

NPI 1063838936 - Radiology - 2085R0001X

NPI Details
NPI 1063838936
Enumeration Date 03/14/2014
Last Updated 04/25/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name MARK A MARK
Position OWNER
Phone (541) 269-8520
Fax (541) 267-5083
Practice Location
1775 THOMPSON RD
COOS BAY OR, 97420-2125, US
Phone (541) 269-8520
Fax (541) 267-5083
Business Location
PO BOX 3166
PORTLAND OR, 97208-3166, US
Phone (541) 269-8520
Fax
Toxanomy
Taxonomy Code 2085R0001X
License State Oregon
License Number MD166373
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According to our database, Bay Area Radiation Oncology Pc NPI is 1063838936, taxonomy code is 2085R0001X and license number is MD166373, license state is located at Oregon. Bay Area Radiation Oncology Pc physically located at 1775 Thompson Rd, Coos Bay OR, 97420-2125. NPI Number 1033115704 has the healthcare provider type.

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1063838936 NPI number is provided on an as is basis without warranty of any kind. 1063838936 is maintained by the National Plan & Provider Enumeration System. The contents of Bay Area Radiation Oncology Pc are for informational purposes only.