Provider Demographics
NPI:1285168872
Name:RADIATION ONCOLOGY SPECIALISTS PC
Entity type:Organization
Organization Name:RADIATION ONCOLOGY SPECIALISTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:FUSS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:971-235-6452
Mailing Address - Street 1:19250 SW 65TH AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:TUALATIN
Mailing Address - State:OR
Mailing Address - Zip Code:97062-7452
Mailing Address - Country:US
Mailing Address - Phone:503-542-7687
Mailing Address - Fax:503-692-7903
Practice Address - Street 1:19250 SW 65TH AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:TUALATIN
Practice Address - State:OR
Practice Address - Zip Code:97062-7452
Practice Address - Country:US
Practice Address - Phone:503-692-5650
Practice Address - Fax:503-692-7903
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-20
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD169914261QX0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0203XAmbulatory Health Care FacilitiesClinic/CenterOncology, Radiation