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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

NPI # 1457351991
LBN Legal business name COMMUNITY CANCER FOUNDATION
Authorized official TAMMY HAGEDORN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 07/27/2005
Last updated 02/03/2020 - About 6 years ago
Identifiers
OR Medicaid 000773
OR Other 002524000 REGENCE BCBS OF OREGON
OR Other 4308388 REGENCE BCBS PC65
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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