Pacific Oncology PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

26633 Issued in OR

Legal business name

PACIFIC ONCOLOGY PC

Practice address

5050 NE Hoyt St
Ste 362
Portland, OR 97213-2991

Phone

(503) 232-7000

Fax

(503) 232-8266

NPI assigned

Aug 14, 2006

Last updated

Feb 1, 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

Patricia Cosgrove, RN MSN

Title

Coo

Phone

(503) 203-1000

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• WILLIAM MOONEY MD Other name

Tax ID family

Gary Takahashi MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pacific Oncology PC

  • Non-Pharmacy Dispensing Site
  • Beaverton, OR
  • NPI 1891706438
  NPD tax ID

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1952314635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 SW GREYSTONE CT",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970066011",
            "telephone_number": "503-203-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST",
            "address_2": "STE 362",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132991",
            "telephone_number": "503-232-7000",
            "fax_number": "503-232-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC ONCOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "COSGROVE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "503-203-1000",
        "authorized_official_credential": "RN MSN"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "OR",
            "license": "26633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054853",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "3842398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WILLIAM MOONEY MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Pacific Northwest Renal Services, L.L.C. (: PNRS Rose Quarter Dialysis Center)
• Pacific Northwest Teletherapy
• Pacific Northwest Wellness LLC
• Pacific Nutrition Collective LLC
• Pacific O&P LLC
• Pacific Premier Group, PC
• Pacific Primary Care and Integrative Health, Inc.
• Pacific Psychology and Comprehensive Health Center
• Pacific Refugee Support Group
• Pacific Rehabilitation & Sports Medicine Inc

• Non-Pharmacy Dispensing Site in Portland, OR
• Providers in Portland, OR by specialty
• Non-Pharmacy Dispensing Site in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.