Organization
RADIATION THERAPY CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW S GORDON M.D. (PARTNER)
(503) 561-5135
Entity
Organization
Contact information
Practice address
875 OAK ST SE STE 1080, SALEM, OR 97301-3977
(503) 561-5135
(503) 561-6807
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
10/18/2006
Last updated
09/21/2007
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