NPIMap

Organization Active NPI

Cancer Care of Southern Oregon

  • Radiation Oncology Physician
  • Medford, OR
National Provider Identifier
1104082577
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
CANCER CARE OF SOUTHERN OREGON
Practice address
2900 Doctors Park Dr
Medford, OR 97504-8198
Phone
(541) 282-2208
Fax
(541) 282-2237
NPI assigned
Aug 5, 2008
Organization subpart
Yes
Parent organization
ROGUE VALLEY PHYSICIANSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Carol A Flinn
Title
Ceo
Phone
(541) 282-2208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

2900 Doctors Park Dr
Medford, OR 97504-8198

Mailing address

748 State St
Medford, OR 97504-8473
Phone (541) 772-5282

National Provider Directory

National Provider Directory
Tax ID family
Cancer Care of Southern Oregon7 organizations share this tax ID, including this one
Part of
Cancer Care of Southern Oregon

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1104082577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "748 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048473",
            "telephone_number": "541-772-5282",
            "fax_number": "541-282-2237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DOCTORS PARK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048198",
            "telephone_number": "541-282-2208",
            "fax_number": "541-282-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANCER CARE OF SOUTHERN OREGON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ROGUE VALLEY PHYSICIANS",
        "enumeration_date": "2008-08-05",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "FLINN",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "541-282-2208"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.