National Provider Identifier Database

UNKNOWN CHERRY, MD – NPI #1689659377
Medical Oncology

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Contact Information

UNKNOWN CHERRY, MD
1900 WOODLAND DR
COOS BAY, OR  97420-0000
Phone: 541-267-5151
Fax: 541-267-3800
Website:
Specialty Taxonomy Code
* Medical Oncology 207RX0202X
Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for UNKNOWN CHERRY

NPI Number 1689659377
Credentials MD
Entity Individual
Enumeration date 12/14/2005
Last updated 05/20/2013 - About 13 years ago
Sole proprietor1 Yes
Identifiers
  • OR License #: MD24238
  • OR Medicaid: 286215
  • OR Other: 1407812365 GROUP NPI NUMBER
  • OR Other: R0000WFBTV GROUP PIN NUMBER
  • OR Other: 930635514 GROUP TAX ID FOR BILLING
  • OR Other: MD24238 MEDICAL LICENSE OREGON
  • OR Other: 9940385 NAME VERIFICATION - OREGON DRIVERS LICENSE-CHERRY HAS NO LAST NAME
  • OR Other: 830008657 RAILROAD PROVIDER NUMBER
  • OR Other: CB3544 TRAV RR MED GROUP NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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