Individual
DR. UNKNOWN CHERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 267-3800
Mailing address
1900 WOODLAND DR, COOS BAY, OR 97420-0000
(541) 267-5151
(541) 267-3800
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD24238
OR
207RX0202X
Medical Oncology Physician
Primary
MD24238
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407812365
GROUP NPI NUMBER
OR
05
—
286215
—
OR
01
—
830008657
RAILROAD PROVIDER NUMBER
OR
01
—
930635514
GROUP TAX ID FOR BILLING
OR
01
—
9940385
NAME VERIFICATION - OREGON DRIVERS LICENSE-CHERRY HAS NO LAST NAME
OR
01
—
CB3544
TRAV RR MED GROUP NUMBER
OR
01
—
MD24238
MEDICAL LICENSE OREGON
OR
01
—
R0000WFBTV
GROUP PIN NUMBER
OR
Enumeration date
12/14/2005
Last updated
05/20/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us