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Organization

RADIATION THERAPY CONSULTANTS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW S GORDON MD (PARTNER)
(503) 561-5135
Entity
Organization

Contact information

Practice address
2700 SE STRATUS AVE, MCMINNVILLE, OR 97128-6255
(503) 435-6590
Mailing address
PO BOX 391, SALEM, OR 97308-0391
(503) 561-5135
(503) 561-6807

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002881
OR
Enumeration date
08/07/2008
Last updated
08/08/2008
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