Provider Demographics
NPI:1013989854
Name:ONCOLOGY ASSOCIATES OF OREGON P C
Entity Type:Organization
Organization Name:ONCOLOGY ASSOCIATES OF OREGON P C
Other - Org Name:WILLAMETTE VALLEY CANCER INSTITUTE AND RESEARCH CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGED CARE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIM
Authorized Official - Middle Name:
Authorized Official - Last Name:BUCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-683-5001
Mailing Address - Street 1:520 COUNTRY CLUB PKWY
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6036
Mailing Address - Country:US
Mailing Address - Phone:541-683-5001
Mailing Address - Fax:
Practice Address - Street 1:520 COUNTRY CLUB
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-6036
Practice Address - Country:US
Practice Address - Phone:541-683-5001
Practice Address - Fax:541-683-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-06
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Multi-Specialty
No207VX0201XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologic OncologyGroup - Multi-Specialty
No2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR191387Medicaid
ORC91789Medicare UPIN
OROOOOWCJGNMedicare ID - Type UnspecifiedFACILITY MEDICARE NUMBER
ORF89742Medicare UPIN
ORD47107Medicare UPIN
ORF60062Medicare UPIN
ORH85617Medicare UPIN
ORH15290Medicare UPIN
OR191387Medicaid
ORC90916Medicare UPIN
ORC90917Medicare UPIN
ORC94173Medicare UPIN
ORG03955Medicare UPIN
ORH46944Medicare UPIN