Edward W Soo (NPI# 1053314633, PAC ID# 6406873827) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MEDICAL ONCOLOGY.
| Nation Provider ID (NPI) | 1053314633 |
| PAC ID by PECOS | 6406873827 |
| Professional Enrollment ID | I20051025000972 |
| Full Name | Edward W Soo |
| Organization Legal Name | NORTHWEST CANCER SPECIALISTS PC |
| Address |
5050 Ne Hoyt St Suite 256 Portland OR 97213-2982 |
| Phone Number | 5032397767 |
| Gender | M |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | MEDICAL ONCOLOGY |
| Secondary Specialties | HEMATOLOGY |
| Group Practice PAC ID | 8426943838 |
| Number of Group Practice Members | 58 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380061 | PROVIDENCE PORTLAND MEDICAL CENTER |
| 380060 | ADVENTIST MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 5050 Ne Hoyt St, Suite 256, Portland, OR 97213-2982 | 5032397767 | NORTHWEST CANCER SPECIALISTS PC |
| 210 Se 136th Ave, Vancouver, WA 98684-6930 | 3609449889 | NORTHWEST CANCER SPECIALISTS PC |
| Organization Legal Name | NORTHWEST CANCER SPECIALISTS PC |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marisa Gholson | Physician Assistant | Northwest Cancer Specialists PC | 265 N Broadway St, Portland, OR 97227-1800 |
| Stephanie Brie Hudson | Physician Assistant | Northwest Cancer Specialists PC | 210 Se 136th Ave, Vancouver, WA 98684-6930 |
| Joyce M Koerber | Physician Assistant | Northwest Cancer Specialists PC | 12123 Sw 69th Ave, Tigard, OR 97223-8514 |
| Robert C Lufkin | Medical Oncology | Northwest Cancer Specialists PC | 5050 Ne Hoyt St, Suite 256, Portland, OR 97213-2982 |
| Kristen Tervo | Physical Therapy | Northwest Cancer Specialists PC | 9555 Sw Barnes Rd, Suite 150, Portland, OR 97225-6668 |
| Breeana K Roche | Physician Assistant | Northwest Cancer Specialists PC | 5050 Ne Hoyt St, Suite 256, Portland, OR 97213-2982 |
| Toni L Storm Dickerson | General Surgery | Northwest Cancer Specialists PC | 210 Se 136th Ave, Vancouver, WA 98684-6930 |
| Michael W Dupre | Nurse Practitioner | Northwest Cancer Specialists PC | 5050 Ne Hoyt St, Suite 256, Portland, OR 97213-2982 |
| Kathleen Dunham | General Surgery | Northwest Cancer Specialists PC | 1498 Se Tech Ctr Pl, Suite 390, Vancouver, WA 98683-5519 |
| Donna Fay Holden | Physician Assistant | Northwest Cancer Specialists PC | 5050 Ne Hoyt St, Suite 256, Portland, OR 97213-2982 |
| Street Address |
5050 NE HOYT ST SUITE 256 |
| City | PORTLAND |
| State | OR |
| Zip | 97213-2982 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael John Lefor | Pulmonary Disease | Providence Health and Services Oregon | 5050 Ne Hoyt St, Portland, OR 97213-2982 |
| Louis S Libby | Pulmonary Disease | Providence Health and Services Oregon | 5050 Ne Hoyt St, Portland, OR 97213-2982 |
| Kevin J Jamison | Neurology | Providence Health and Services Oregon | 5050 Ne Hoyt St, 315 Prov Neurol Spec Eas, Portland, OR 97213-2982 |
| Alison M Mitchell | Family Medicine | Providence Health and Services Oregon | 5050 Ne Hoyt St, 240 Providence Med Gr Ca, Portland, OR 97213-2981 |
| Robert C Lufkin | Medical Oncology | Northwest Cancer Specialists PC | 5050 Ne Hoyt St, Suite 256, Portland, OR 97213-2982 |
| Sarah J Lipton | Rheumatology | Providence Health and Services Oregon | 5050 Ne Hoyt St, 155 Prov Med Grp Arth Ce, Portland, OR 97213-2956 |
| Cheri L Belling | Nurse Practitioner | Providence Health and Services Oregon | 5050 Ne Hoyt St, 315 Prov Neurol Spec Eas, Portland, OR 97213-2982 |
| Sarah Rogers | Diagnostic Radiology | Radiology Specialists of The Northwest PC | 5050 Ne Hoyt St, Suite 625, Portland, OR 97213-2991 |
| Lydia A Villegas | Family Medicine | Providence Health and Services Oregon | 5050 Ne Hoyt St, 240 Providence Med Gr Ca, Portland, OR 97213-2981 |
| Nicholas B Nelson | Hospitalist | Providence Health and Services Oregon | 5050 Ne Hoyt St, 240 Providence Med Gr Ca, Portland, OR 97213-2981 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John R Lewis | Optometry | Beaumont Vision, PC | 4331 Ne Fremont St, Portland, OR 97213-1151 |
| David M Klipper | Diagnostic Radiology | Kern Radiology Medical Group Inc | 4231 Ne Siskiyou St, Portland, OR 97213-1161 |
| Evonne N Serpa | Qualified Audiologist | 4311 Ne Tillamook St, Portland, OR 97213-1315 | |
| Judith J Chambers | Clinical Social Worker | 1804 Ne 45th Ave, Portland, OR 97213-1416 | |
| Diane Squire Hyde | Clinical Social Worker | 1804 Ne 45th Ave, Portland, OR 97213-1416 | |
| Marjorie J Hrbek | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Mary Lee Baker | Pediatric Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Lorelei Elizabeth Ditommaso | Dermatology | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Tracy L Hansen | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Anne M Hirsch | Internal Medicine | Broadway Medical Clinic LLP | 4212 Ne Broadway, Portland, OR 97213-1422 |
| Find all physicians in zip 97213 | |||
| City | PORTLAND |
| Zip Code | 97213 |
| Specialty | MEDICAL ONCOLOGY |
| City + Specialty | PORTLAND + MEDICAL ONCOLOGY |
Please comment or provide details below to improve the information on Edward W Soo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.