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Organization

MERIDIAN PARK ONCOLOGY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELODY EDGINGTON (CHIEF OPERATING OFFICER)
(503) 692-4843
Entity
Organization

Contact information

Practice address
6489 SW BORLAND RD, TUALATIN, OR 97062-9798
(503) 692-4843
Mailing address
6489 SW BORLAND RD, TUALATIN, OR 97062-9798
(503) 692-4843

Taxonomy

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

Other

Enumeration date
12/07/2016
Last updated
12/07/2016
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