BAY AREA RADIATION ONCOLOGY PC; NPI #1063838936

Contact Information

BAY AREA RADIATION ONCOLOGY PC

1775 THOMPSON RD
COOS BAY, OR 97420-2125

Phone: 541-269-8520
Fax: 541-267-5083
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology

Indicates primary specialty

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NPI Profile & details for BAY AREA RADIATION ONCOLOGY PC

NPI # 1063838936

LBN Legal business name BAY AREA RADIATION ONCOLOGY PC

Authorized official MARK HENDERSON - (OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/14/2014

Last updated 04/25/2016 - About 10 years ago

Identifiers

OR	License #	MD166373
OR	Medicaid	500675118
OR	Other	MD166373	STATE MEDICAL LICENSE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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BAY AREA RADIATION ONCOLOGY PC

Contact Information

Specialty

Radiation Oncology

NPI Profile & details for BAY AREA RADIATION ONCOLOGY PC

Reviews for BAY AREA RADIATION ONCOLOGY PC