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Contact Information

UNKNOWN CHERRY, MD
1900 WOODLAND DR
COOS BAY, OR97420-0000
 Phone: 541-267-5151
 Fax: 541-267-3800
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Hematology & Oncology

207RH0003X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for UNKNOWN CHERRY · (Female)

NPI Number 1689659377
Status Active
Credentials MD
Entity Individual
Enumeration date 12/14/2005
Last updated 05/20/2013 - About 13 years ago
Sole proprietor 1 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(s)
  • BAY AREA HOSPITAL - (Acute Care)
    1775 THOMPSON ROAD
    COOS BAY, OR 97420
  • CURRY GENERAL HOSPITAL - (Critical Access)
    94220 FOURTH STREET
    GOLD BEACH, OR 97444
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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