Meridian Park Radiation Oncolog Center, Inc

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

MERIDIAN PARK RADIATION ONCOLOG CENTER, INC

Practice address

6489 SW Borland Rd
Tualatin, OR 97062

Phone

(503) 692-4843

Fax

(503) 692-6543

NPI assigned

Sep 29, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Melody Edgington

Title

Manager

Phone

(503) 682-4843

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Soheila Azghadi, MD

  • Radiation Oncology Physician
  • Walnut Creek, CA
  • NPI 1952794455

  OR

  Medicare reassignment Care Compare group NPD
• Raymond Charles Tan, MD

  • Radiation Oncology Physician
  • Fresno, CA
  • NPI 1104809946

  OR

  Medicare reassignment Care Compare group NPD
• Norman Robert Willis, M.D.

  • Radiation Oncology Physician
  • Lewiston, ID
  • NPI 1508854290

  OR

  Medicare reassignment Care Compare group
• Matthew Stephen Thurman, M.D.

  • Radiation Oncology Physician
  • Corvallis, OR
  • NPI 1316385974
  Medicare reassignment NPD
• Lanceford M Chong, MD

  • Radiation Oncology Physician
  • Portland, OR
  • NPI 1821001736
  Medicare reassignment

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1114019684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6489 SW BORLAND RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "970629798",
            "telephone_number": "503-692-4843",
            "fax_number": "503-692-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6489 SW BORLAND RD",
            "city": "TUALATIN",
            "state": "OR",
            "postal_code": "97062",
            "telephone_number": "503-692-4843",
            "fax_number": "503-692-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PARK RADIATION ONCOLOG CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "EDGINGTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "503-682-4843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Brook Mendez
• Linn Rey Menzie Sr., LCSW
• Meridian Center for Surgical Excellence
• Meridian Family Care, LLC
• Meridian Park Oncology LLC
• Meridian Park Radiation Oncology Center, Inc.
• Samantha Merz
• Metatron Health LLC
• MFT Holdings, LLC
• Michael P. Gardner, MD PC

• Radiation Oncology Clinic/Center in Tualatin, OR
• Providers in Tualatin, 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 Aug 8, 2018; 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.