Organization
PACIFIC ONCOLOGY PC
Active
Other names
GARY TAKAHASHI MD
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA COSGROVE RN MSN (COO)
(503) 203-1000
Entity
Organization
Contact information
Practice address
15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
(503) 203-1000
Mailing address
15700 SW GREYSTONE CT, BEAVERTON, OR 97006-6011
(503) 203-1000
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
26824
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054853
—
OR
01
—
3842386
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/10/2006
Last updated
02/13/2008
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