| Community Cancer Foundation | |
|
2880 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1201 | |
| (541) 673-2267 | |
| (541) 672-9483 |
| Full Name | Community Cancer Foundation |
|---|---|
| Speciality | Radiology |
| Location | 2880 Nw Stewart Pkwy, Roseburg, Oregon |
| Authorized Official Name and Position | Tammy Hagedorn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5416732267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Cancer Foundation 2880 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1201 Ph: (541) 673-2267 | Community Cancer Foundation 2880 Nw Stewart Pkwy Suite 100 Roseburg OR 97471-1201 Ph: (541) 673-2267 |
| NPI Number | 1457351991 |
|---|---|
| Provider Enumeration Date | 07/27/2005 |
| Last Update Date | 02/03/2020 |
| Medicare PECOS PAC ID | 1951345347 |
|---|---|
| Medicare Enrollment ID | O20080625000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457351991 | NPI | - | NPPES |
| 000773 | Medicaid | OR | |
| 002524000 | Other | OR | REGENCE BCBS OF OREGON |
| 4308388 | Other | OR | REGENCE BCBS PC65 |
| Provider Name | Randy L Moore |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508813817 PECOS PAC ID: 1951339936 Enrollment ID: I20060919000028 |
| Provider Name | Cynthia D Kusler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578725982 PECOS PAC ID: 5890846752 Enrollment ID: I20090706000594 |
| Provider Name | Lanceford M Chong |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821001736 PECOS PAC ID: 6002899986 Enrollment ID: I20170901001308 |
| Provider Name | Michael Marietta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1669823985 PECOS PAC ID: 0345532529 Enrollment ID: I20210818004144 |
| Provider Name | David Gallardo |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1114913282 PECOS PAC ID: 0244297141 Enrollment ID: I20240215002369 |
A.k. Gombart M.d.p.c Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 532 W Umpqua St, Roseburg, OR 97470 Phone: 541-673-0133 | |
Roseburg Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2750 W Harvard Ave, Roseburg, OR 97471 Phone: 541-673-8988 Fax: 541-672-8103 | |
Douglas Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 201, Roseburg, OR 97470 Phone: 541-440-6390 Fax: 541-440-6392 | |
Laurence M Sharp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1813 W Harvard Ave, Suite 426, Roseburg, OR 97471 Phone: 541-459-1611 Fax: 541-459-5741 | |
Icco Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Nw Goetz Street, Roseburg, OR 97471 Phone: 541-672-4885 Fax: 541-672-4782 | |
Cow Creek Band Of Umpqua Tribe Of Indians Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2589 Nw Edenbower Blvd, Roseburg, OR 97471 Phone: 541-672-8533 Fax: 855-670-1791 | |
Gordon F. Rose, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 544 W Umpqua St Ste 104, Roseburg, OR 97470 Phone: 541-673-3334 Fax: 541-673-0814 |