Cherry, Unknown

Cherry, Unknown is an sole proprietor health care provider with primary practice located at 1900 Woodland Dr , Coos Bay OR 97420-0000. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is her primary health care specialty. Cherry, Unknown can be contacted via phone (541) 267-5151.

Contact Information

Primary practice address
1900 Woodland Dr Coos Bay OR 97420-0000
Phone: (541) 267-5151
Fax: (541) 267-3800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X MD24238 Oregon
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD24238 Oregon

Profile Details

NPI number 1689659377
LBN Legal business name Cherry, Unknown
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 2005
Last updated May 20th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1689659377 NPPES
Oregon MEDICAID 286215
Oregon Other 830008657
Oregon Other 9940385
Oregon Other 1407812365
Oregon Other CB3544
Oregon Other 930635514
Oregon Other MD24238
Oregon Other R0000WFBTV

Popular Providers