# MERIDIAN PARK RADIATION ONCOLOG CENTER, INC

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

## Provider details

- **NPI number:** 1114019684
- **Authorized official:** MR. MELODY EDGINGTON (MANAGER)
- **Authorized official phone:** (503) 682-4843

## Contact information

- **Practice address:** 6489 SW BORLAND RD, TUALATIN, OR 97062
- **Practice address phone:** (503) 692-4843
- **Practice address fax:** (503) 692-6543
- **Mailing address:** 6489 SW BORLAND RD, TUALATIN, OR 97062-9798
- **Mailing address phone:** (503) 692-4843
- **Mailing address fax:** (503) 692-6543

## Taxonomy

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

## Other

- **Enumeration date:** 09/29/2006
- **Last updated:** 08/08/2018