Organization
NW SURGICAL ONCOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHERINE T MORRIS M.D. (PRESIDENT)
(503) 517-9030
Entity
Organization
Contact information
Practice address
1040 NW 22ND AVE, SUITE 540, PORTLAND, OR 97210-3057
(503) 517-9030
Mailing address
PO BOX 23200, PORTLAND, OR 97281-3200
(503) 517-9030
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
MD22058
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1123728
—
WA
05
—
218152
—
OR
01
—
DG1218
RAILROAD MEDICARE
OR
Enumeration date
01/07/2007
Last updated
12/18/2008
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