Community Cancer Foundation
Organization Active NPI Registered Dietitian · Roseburg, OR
NPI 1982833752 · NPPES record last updated Feb 21, 2012
Key facts
- NPI
- 1982833752
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- COMMUNITY CANCER FOUNDATION
- Practice address
- 2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201 - Phone
- (541) 673-2267
- Fax
- (541) 672-9483
- NPI assigned
- Jul 14, 2009
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY CANCER FOUNDATION
Authorized official
- Name
- Melvin Cheney
- Title
- Executive Director
- Phone
- (541) 673-2267
Practitioners 4
-
David Gallardo, MD
-
Michael Marietta, M.D.
-
Randy Lee Moore, D.O.
National Provider Directory
- Part of
- Community Cancer Foundation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | OR | Yes |
Addresses
Primary practice location
2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201
Mailing address
2880 NW Stewart Pkwy
Suite 100
Roseburg, OR 97471-1201
Phone (541) 673-2267
Other names
- Community Cancer Center
Other providers in Roseburg, OR
- Commonspirit Oregon
- Commonspirit Oregon
- Commonspirit Oregon
- Community Cancer Foundation
- Community Cancer Foundation
- Community Health Alliance
- Community Health Alliance
- Meredith Ann Concepcion
- Josie Dion Congdon
- Kelly Renee Conklin
All providers in Roseburg, OR · Registered Dietitian in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 21, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.