Unknown Cherry in Coos Bay - Hematology & Oncology

Unknown Cherry - NPI 1689659377

Unknown Cherry is a Hematology & Oncology in Coos Bay, Oregon. Unknown Cherry practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Unknown Cherry is 1689659377. The last update date is 2013-05-20.

Unknown Cherry's current location address is 1900 Woodland Dr, Coos Bay, Oregon. You can contact this provider via phone number 5412675151 and fax number 5412673800. The mailing address for Unknown Cherry is 1900 Woodland Dr, Coos Bay, Oregon. To know further, please read the information below!

Provider Profile Detail

Provider Name Unknown Cherry
Address 1900 Woodland Dr, Coos Bay, Oregon
Phone Number 5412675151
Fax Number 5412673800
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1689659377
Provider Enumeration Date 2005-12-14
Last Updated Date 2013-05-20

Provider Mailing Address Detail

Address 1900 Woodland Dr
City Coos Bay
State Oregon (OR)
Post Code 974200000
Phone Number 5412675151
Fax Number 5412673800

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No MD24238
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
286215 OR --
830008657 OR RAILROAD PROVIDER NUMBER
9940385 OR NAME VERIFICATION - OREGON DRI
1407812365 OR GROUP NPI NUMBER
CB3544 OR TRAV RR MED GROUP NUMBER
930635514 OR GROUP TAX ID FOR BILLING
MD24238 OR MEDICAL LICENSE OREGON
R0000WFBTV OR GROUP PIN NUMBER

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FAQs about Unknown Cherry

What is the unique identifier code issued to Unknown Cherry by the Centers for Medicare & Medicaid Services (CMS)?

The Unknown Cherry has been assigned the NPI (National Provider Identifier) 1689659377. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Unknown Cherry?

The Unknown Cherry is situated at 1900 Woodland Dr, in the city of Coos Bay, state of OR, with the zip code 974200000.

What is Unknown Cherry's specialized field of practice, and what is the corresponding taxonomy classification code?

The Unknown Cherry's area of specialization is Hematology & Oncology, and the corresponding taxonomy code that categorizes this field of practice is 207Rh0003X.

On what date was the 1689659377 assigned to Unknown Cherry?

The Unknown Cherry was issued its 1689659377 on 2005-12-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Unknown Cherry most recently updated?

The details pertaining to the Unknown Cherry, including its address, specialty, and other relevant information, were last refreshed on 2013-05-20.

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