NPIMap

Organization Active NPI

Pacific Oncology PC

  • Hematology & Oncology Physician
  • Beaverton, OR
National Provider Identifier
1043262116
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
PACIFIC ONCOLOGY PC
Practice address
15700 SW Greystone CT
Beaverton, OR 97006-6011
Phone
(503) 203-1000
Fax
(503) 203-1010
NPI assigned
May 17, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
William M Mooney, MDNPI 1467455014
Title
President, Ceo
Phone
(503) 203-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X NU Primary
Radiation Oncology Physician 2085R0001X NU
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

15700 SW Greystone CT
Beaverton, OR 97006-6011

Mailing address

PO Box 3378
Portland, OR 97208-3378
Phone (503) 203-1000

Other identifiers 3

IdentifierTypeStateIssuer
CV0082OtherORRR MEDICARE GROUP NUMBER
7084056MedicaidWA
130430MedicaidOR

National Provider Directory

National Provider Directory

Locations

24988 SE Stark St
Ste 140
Gresham, OR 97030
Phone (503) 661-1112

1130 NW 22nd Ave
Ste 100
Portland, OR 97210
Phone (503) 299-6500

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1043262116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3378",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083378",
            "telephone_number": "503-203-1000",
            "fax_number": "503-203-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 SW GREYSTONE CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066011",
            "telephone_number": "503-203-1000",
            "fax_number": "503-203-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "MOONEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "503-203-1000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP NUMBER",
            "identifier": "CV0082",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7084056",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130430",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaverton, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.