Provider Demographics
NPI:1629080510
Name:SURGICAL ONCOLOGY ASSOCIATES, P,C.
Entity Type:Organization
Organization Name:SURGICAL ONCOLOGY ASSOCIATES, P,C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:YEECHING
Authorized Official - Last Name:LIM
Authorized Official - Suffix:
Authorized Official - Credentials:MSC
Authorized Official - Phone:503-231-0377
Mailing Address - Street 1:5050 NE HOYT ST
Mailing Address - Street 2:SUITE 410
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2991
Mailing Address - Country:US
Mailing Address - Phone:503-231-0377
Mailing Address - Fax:503-231-2816
Practice Address - Street 1:5050 NE HOYT ST
Practice Address - Street 2:SUITE 410
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2991
Practice Address - Country:US
Practice Address - Phone:503-231-0377
Practice Address - Fax:503-231-2816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-12
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1609888544OtherSCOTT J. SOOT MD
OR1891707766OtherJAMES H IMATANI MD
OR1679585558OtherCHRISTOPHER N.H. LIM MD
OR1700898723OtherKELVIN C. YU MD