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Contact Information

COMMUNITY CANCER FOUNDATION
2880 NW STEWART PKWY
SUITE 100
ROSEBURG, OR97471-1201
 Phone: 541-673-2267
 Fax: 541-672-9483
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Radiation Oncology

2085R0001X 92 Physician/Radiation Oncology
 

Clinic/Center

261Q00000X
 

Oncology, Radiation

261QX0203X
Indicates primary specialty

NPI Profile & details for COMMUNITY CANCER FOUNDATION · (Female)

NPI Number 1457351991
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2005
Last updated 02/03/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR Medicaid 000773
  • OR Other 002524000 REGENCE BCBS OF OREGON
  • OR Other 4308388 REGENCE BCBS PC65
Hospital affiliation(s) Not Available
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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