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Organization
PACIFIC NORTHWEST ONCOLOGY SERVICES
Active
Organization
PACIFIC NORTHWEST ONCOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS BODLEY MD (MEDICAL ONCOLOGIST)
(971) 202-1231
Entity
Organization
Contact information
Practice address
8710 NE BEECH ST, PORTLAND, OR 97220-5013
(971) 202-1231
Mailing address
8710 NE BEECH ST, PORTLAND, OR 97220-5013
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QX0200X
Oncology Clinic/Center
Primary
—
—
261QX0203X
Radiation Oncology Clinic/Center
—
—
Other
Enumeration date
04/06/2023
Last updated
04/10/2023
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