Meridian Park Oncology LLC

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

Legal business name

MERIDIAN PARK ONCOLOGY LLC

Practice address

6489 SW Borland Rd
Tualatin, OR 97062-9798

Phone

(503) 692-4843

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Melody Edgington

Title

Chief Operating Officer

Phone

(503) 692-4843

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1467996645",
    "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"
        },
        {
            "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": "970629798",
            "telephone_number": "503-692-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PARK ONCOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "EDGINGTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "503-692-4843",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra L Mende, R.N.
• Melissa Brook Mendez
• Linn Rey Menzie Sr., LCSW
• Meridian Center for Surgical Excellence
• Meridian Family Care, LLC
• Meridian Park Radiation Oncolog Center, Inc
• Meridian Park Radiation Oncology Center, Inc.
• Samantha Merz
• Metatron Health LLC
• MFT Holdings, LLC

• Radiation Oncology Physician in Tualatin, OR
• Providers in Tualatin, OR by specialty
• Radiation Oncology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.