| Organization Name: | MERIDIAN PARK RADIATION ONCOLOGY CENTER, INC |
| NPI Number: | 1114019684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBERT J MILLER (PHYSICIST) |
| Mailing Address: | 6489 Sw Borland Rd Tualatin |
| State: | OR US |
| Postal Code: | 970629798 |
| Phone Number: | 5036924843 |
| Fax Number: | 5036926543 |
| NPI Enumeration Date: | 09/29/2006 |
| NPI Last Update Date: | 04/07/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0203X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Oncology, Radiation |
| Taxonomy Definition: | |