MERIDIAN PARK RADIATION ONCOLOG CENTER INC NPI 1114019684

NPI Information

  • NPI: 1114019684
  • Provider Name: MERIDIAN PARK RADIATION ONCOLOG CENTER, INC
  • Classification: Clinic/Center - 261QX0203X
  • Specialization: Oncology, Radiation
  • Entity Type: Organization
  • Address: 6489 SW BORLAND RD
    TUALATIN, OR
    ZIP 97062
  • Phone: (503) 692-4843

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NPI Details

MERIDIAN PARK RADIATION ONCOLOG CENTER, INC is an oncology and radiation clinic center in Tualatin, OR. MERIDIAN PARK RADIATION ONCOLOG CENTER, INC NPI is 1114019684. The provider is registered as an organization entity type.

The provider's business location address is:

6489 SW BORLAND RD
TUALATIN, OR
ZIP 97062
Phone: (503) 692-4843
Fax: (503) 692-6543

The provider's authorized official is Melody Edgington .
The authorized official title is Manager and has the following contact phone number (503) 682-4843.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QX0203XClinic/CenterOncology, RadiationYes

What is NPI?

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This page was last updated on: 3/30/2025

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