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Contact Information

NW SURGICAL ONCOLOGY PC
1040 NW 22ND AVE
SUITE 540
PORTLAND, OR97210-3057
 Phone: 503-517-9030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for NW SURGICAL ONCOLOGY PC

NPI # 1144378340
LBN Legal business name NW SURGICAL ONCOLOGY PC
Authorized official KATHERINE MORRIS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/07/2007
Last updated 12/18/2008 - About 17 years ago
Identifiers
OR License # MD22058
OR Medicaid 218152
WA Medicaid 1123728
OR Other DG1218 RAILROAD MEDICARE
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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