Provider Demographics
NPI:1609092527
Name:CASCADE SURGICAL ONCOLOGY, PC
Entity Type:Organization
Organization Name:CASCADE SURGICAL ONCOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:TREZONA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-302-6469
Mailing Address - Street 1:1200 HILYARD ST STE 550
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-8153
Mailing Address - Country:US
Mailing Address - Phone:541-302-6469
Mailing Address - Fax:
Practice Address - Street 1:1200 HILYARD ST STE 550
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8153
Practice Address - Country:US
Practice Address - Phone:541-302-6469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR240426Medicaid
ORR109445Medicare PIN