Organization
ONCOLOGY OF SOUTHERN OREGON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY A NOYCE MD (ADMINISTRATOR)
(541) 772-5282
Entity
Organization
Contact information
Practice address
748 STATE ST, MEDFORD, OR 97504-8473
(541) 282-8888
(541) 282-8898
Mailing address
748 STATE ST, MEDFORD, OR 97504-8473
(541) 282-8888
(541) 282-8898
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227273
—
OR
01
—
3988910001
DEMERC
OR
Enumeration date
04/26/2006
Last updated
05/20/2008
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