Organization
MITRA ONCOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDRA RAMDAS PATIL M.D., PH.D. (PRESIDENT)
(503) 521-8267
Entity
Organization
Contact information
Practice address
727 S WAHANNA RD, SEASIDE, OR 97138-7735
(503) 717-7650
(503) 717-7624
Mailing address
16130 SW BRAY LN, TIGARD, OR 97224-1090
(503) 521-8267
(503) 521-8267
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
MD21026
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027753
—
OR
Enumeration date
03/10/2007
Last updated
08/22/2020
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