Meridian Park Radiation Oncolog Center, INC

NPI #1114019684 in Tualatin, Oregon

Provider Information

NPI Number: 1114019684
Entity Type: Organization
Organization Name: Meridian Park Radiation Oncolog Center, INC
Primary Specialty: Clinic/Center - Oncology, Radiation
Enumeration Date: Sep 29, 2006
Last Updated: Aug 8, 2018

Practice Location

Address: 6489 SW BORLAND RD
City: Tualatin
State: Oregon
ZIP Code: 97062
Phone: (503) 692-4843

Authorized Official

Name: MR. MELODY EDGINGTON
Title: MANAGER
Phone: (503) 682-4843

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Oncology, Radiation — Oncology, Radiation	261QX0203X	Primary

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