Provider Demographics
NPI:1417982745
Name:COMERFORD, THOMAS J (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:J
Last Name:COMERFORD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2500 NE NEFF RD
Mailing Address - Street 2:CENTRAL OREGON CANCER TREATMENT CTR
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6015
Mailing Address - Country:US
Mailing Address - Phone:541-388-7733
Mailing Address - Fax:541-385-6341
Practice Address - Street 1:2500 NE NEFF RD
Practice Address - Street 2:CENTRAL OREGON CANCER TREATMENT CTR
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6015
Practice Address - Country:US
Practice Address - Phone:541-388-7733
Practice Address - Fax:541-385-6341
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
ORMD133462085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR246746Medicaid
ORR158733Medicare PIN