Clackamas Radiation Oncology Center

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

CLACKAMAS RADIATION ONCOLOGY CENTER

Practice address

9280 SE Sunnybrook Blvd
Suite 100
Clackamas, OR 97015-6899

Phone

(503) 215-1837

Fax

(503) 215-3687

NPI assigned

Nov 23, 2009

Last updated

Oct 31, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alice Wang-Chesebro, MD

Title

Medical Director

Phone

(503) 513-3300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 1

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.

• Christine Myung-Sook Cha, MD

  • Radiation Oncology Physician
  • Bellingham, WA
  • NPI 1053313817
  NPD (past)

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1053649475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3867",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972083867",
            "telephone_number": "503-215-8584",
            "fax_number": "503-215-6387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9280 SE SUNNYBROOK BLVD",
            "address_2": "SUITE 100",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970156899",
            "telephone_number": "503-215-1837",
            "fax_number": "503-215-3687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLACKAMAS RADIATION ONCOLOGY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "WANG-CHESEBRO",
        "authorized_official_first_name": "ALICE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-513-3300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clackamas Education Service District
• Clackamas Education Service District
• Clackamas Foot & Ankle Clinic
• Clackamas Foot & Ankle Clinic, Inc.
• Clackamas Physical Therapy Associates, Inc.
• Clackamas Sportscare LLC
• Clackamas Town Dental, LLC
• Ericha Clare, ND, LAC
• Amber Nicole Clark
• Matthew Harvey Clark, PA-C

• Radiation Oncology Clinic/Center in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Radiation Oncology Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.