# CLACKAMAS RADIATION ONCOLOGY CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053649475
- **Authorized official:** ALICE WANG-CHESEBRO MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 513-3300

## Contact information

- **Practice address:** 9280 SE SUNNYBROOK BLVD, SUITE 100, CLACKAMAS, OR 97015-6899
- **Practice address phone:** (503) 215-1837
- **Practice address fax:** (503) 215-3687
- **Mailing address:** PO BOX 3867, PORTLAND, OR 97208-3867
- **Mailing address phone:** (503) 215-8584
- **Mailing address fax:** (503) 215-6387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0203X | Radiation Oncology Clinic/Center | — | NULL | — |
| 261QX0203X | Radiation Oncology Clinic/Center | — | OR | Yes |

## Other

- **Enumeration date:** 11/23/2009
- **Last updated:** 10/31/2024
