Bay Area Radiation Oncology Pc

LBN: Bay Area Radiation Oncology Pc
Bay Area Radiation Oncology Pc is an health care organization with primary practice located at 1775 Thompson Rd , Coos Bay OR 97420-2125. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Bay Area Radiation Oncology Pc can be contacted via phone (541) 269-8520, or through Henderson, Mark A via phone (317) 490-8457.

Contact Information

Primary practice address
1775 Thompson Rd Coos Bay OR 97420-2125
Phone: (541) 269-8520
Fax: (541) 267-5083
Website:
Map and Directions
Authorized official contact:
Name: Henderson, Mark A Doctor of Medicine (MD)
Phone: (317) 490-8457

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD166373 Oregon

Profile Details

NPI number 1063838936
LBN Legal business name Bay Area Radiation Oncology Pc
DBA Doing business as
Authorized official Henderson, Mark A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2014
Last updated Apr 25th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063838936 NPPES
Oregon Other MD166373 STATE MEDICAL LICENSE
Oregon MEDICAID 500675118 STATE MEDICAL LICENSE

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