CLACKAMAS RADIATION ONCOLOGY CENTER, LLC (NPI# 1053649475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053649475 |
| Entity Type | Organization |
| Organization Name | CLACKAMAS RADIATION ONCOLOGY CENTER, LLC |
| Practice Address |
9280 Se Sunnybrook Blvd Suite 100 Clackamas OR 97015-6899 |
| Mailing Address |
Po Box 3867 Portland OR 97208-3867 |
| Practice Telephone | 5032151837 |
| Practice Fax Number | 5032153687 |
| Mailing Telephone | 5032158584 |
| Mailing Fax Number | 5032156387 |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2015-08-11 |
| Authorized Official Name | BILLIE JEAN MOUNTS (CHIEF REIMBURSMENT OFFICER) |
| Authorized Official Telephone | 4255253910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
Ambulatory Health Care Facilities | ||
| Y | 261QX0203X |
Clinic/Center Specialization: Oncology, Radiation |
OR | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CLACKAMAS RADIATION ONCOLOGY CENTER, LLC | 9280 Se Sunnybrook Blvd Ste 100, Clackamas, OR 97015 |
| Street Address |
9280 SE SUNNYBROOK BLVD SUITE 100 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-6899 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366435372 | Jamie R Zilverberg | Nurse Practitioner | 9280 Se Sunnybrook Blvd, Ste 200, Clackamas, OR 97015-6776 | 2005-08-24 |
| 1861825820 | Providence Health & Services - Oregon | Internal Medicine | 9280 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-9353 | 2013-08-14 |
| 1992059786 | Kevin James Still | Audiologist | 9280 Se Sunnybrook Blvd, Ste 300, Clackamas, OR 97015-9353 | 2012-11-01 |
| 1689836108 | Providence Health & Services - Oregon | Clinic/Center | 9280 Se Sunnybrook Blvd, Suite 200, Clackamas, OR 97015-6776 | 2008-06-26 |
| 1356548903 | Hillary Elizabeth Rachel Lowenstein | Psychiatry & Neurology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2007-06-28 |
| 1447451794 | Shane O Rogosin | Internal Medicine | 9280 Se Sunnybrook Blvd, Ste 200, Clackamas, OR 97015-6776 | 2007-05-31 |
| 1649280371 | Robert Lee Roberts | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-08-08 |
| 1972543106 | James Chan | Otolaryngology | 9280 Se Sunnybrook Blvd, Suite 300, Clackamas, OR 97015-9353 | 2006-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 261QX0203X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Oncology, Radiation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538178066 | Tuality-ohsu Cancer Center, LLC | Clinic/Center | 299 Se 9th Ave, Hillsboro, OR 97123-4221 | 2006-08-05 |
| 1285168872 | Radiation Oncology Specialists PC | Clinic/Center | 19250 Sw 65th Ave, Suite 220, Tualatin, OR 97062-7452 | 2017-04-20 |
| 1093043424 | Kaiser Foundation Health Plan of The Northwest | Clinic/Center | 3620 N Interstate Ave, Portland, OR 97227-1106 | 2009-11-23 |
| 1538330899 | Meridian Park Radiation Oncology Center, Inc. | Clinic/Center | 6489 Sw Borland Rd, Tualatin, OR 97062-9798 | 2008-03-14 |
| 1114019684 | Meridian Park Radiation Oncolog Center, Inc | Clinic/Center | 6489 Sw Borland Rd, Tualatin, OR 97062 | 2006-09-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.