| Organization Name: | CLACKAMAS RADIATION ONCOLOGY CENTER, LLC |
| NPI Number: | 1053649475 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BILLIE JEAN MOUNTS (CHIEF REIMBURSMENT OFFICER) |
| Mailing Address: | 9280 Se Sunnybrook Blvd Suite 100 Clackamas |
| State: | OR US |
| Postal Code: | 970156899 |
| Phone Number: | 5032151837 |
| Fax Number: | 5032153687 |
| NPI Enumeration Date: | 11/23/2009 |
| NPI Last Update Date: | 08/11/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |