Organization
PACIFIC ONCOLOGY PC
Active
Other names
WILLIAM MOONEY MD
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA COSGROVE RN MSN (COO)
(503) 203-1000
Entity
Organization
Contact information
Practice address
5050 NE HOYT ST, STE 362, PORTLAND, OR 97213-2991
(503) 232-7000
(503) 232-8266
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
26633
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
054853
—
OR
01
—
3842398
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
08/14/2006
Last updated
02/01/2008
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