Meridian Park Radiation Oncology Center, Inc.

Primary specialty

Radiation Oncology Clinic/CenterTaxonomy code 261QX0203X

Legal business name

MERIDIAN PARK RADIATION ONCOLOGY CENTER, INC.

Practice address

6489 SW Borland Rd
Tualatin, OR 97062-9798

Phone

(503) 692-4843

Fax

(503) 692-6543

NPI assigned

Mar 14, 2008

Last updated

Apr 28, 2008By 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

Mr. Robert J Miller

Title

Owner Manager

Phone

(503) 692-4843

Specialties & licenses 1

Addresses

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.

• Gregory S Willis, M.D.

  • Radiation Oncology Physician
  • Tualatin, OR
  • NPI 1417941600
  NPD

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

{
    "created_epoch": "1205452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1538330899",
    "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": "97062",
            "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": "970629798",
            "telephone_number": "503-692-4843",
            "fax_number": "503-692-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN PARK RADIATION ONCOLOGY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-14",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "503-692-4843",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linn Rey Menzie Sr., LCSW
• Meridian Center for Surgical Excellence
• Meridian Family Care, LLC
• Meridian Park Oncology LLC
• Meridian Park Radiation Oncolog Center, Inc
• Samantha Merz
• Metatron Health LLC (Portland Regenerative Medicine Center)
• MFT Holdings, LLC (Massage Envy of Tualatin)
• Michael P. Gardner, MD PC
• Michael P. Gardner, MD PC (Oregon Urology Alliance)

• 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 Apr 28, 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.