Dr. Edward Weilie Soo
Internal Medicine (Medical Oncology)

Address: 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982
Phone: 5032397767

Dr. Edward Weilie Soo (NPI# 1053314633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1053314633
Entity Type Individual
Full Name Dr. Edward Weilie Soo
Credential M.D.
Gender Male
Practice Address 5050 Ne Hoyt St
Ste 256
Portland
OR 97213-2982
Practice Telephone 5032397767
Practice Fax Number 5032156897
Mailing Address 5050 Ne Hoyt St
Ste 256
Portland
OR 97213-2982
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2005-05-27
Last Update Date 2012-03-14

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RX0202X Internal Medicine · Medical Oncology Allopathic & Osteopathic Physicians MD21475 OR

Other Provider Identifier

State Identifier Issuer Type Code
WA 1001220 MEDICAID
OR 130057 MEDICAID

Physician Overview

NPI 1053314633
PAC ID by PECOS 6406873827
Professional Enrollment ID I20051025000972
Full Name Edward W Soo
Organization Legal Name NORTHWEST CANCER SPECIALISTS PC
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 55
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
380061 PROVIDENCE PORTLAND MEDICAL CENTER
380060 ADVENTIST MEDICAL CENTER

Office Location

Street Address 5050 NE HOYT ST
STE 256
City PORTLAND
State OR
Zip Code 97213-2982

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558364570 Bruce Wilson Dana Internal Medicine 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 2005-05-23
1780136242 Crystal Marie Rodriguez Physician Assistant 5050 Ne Hoyt St, Suite 240, Portland, OR 97213-2991 2016-11-01
1558810820 Janina Browne Physician Assistant 5050 Ne Hoyt St, 454, Portland, OR 97213-2991 2016-09-28
1285181974 Lena Soo Hee Wood Advanced Practice Midwife 5050 Ne Hoyt St, Suite 353, Portland, OR 97213-2991 2016-09-09
1780131532 Hayley M Cusick Physician Assistant 5050 Ne Hoyt St, Suite 511, Portland, OR 97213-2991 2016-09-08
1801249164 Lauren Berman Speech-Language Pathologist 5050 Ne Hoyt St, #315, Portland, OR 97213 2016-07-21
1750730743 Kathryn W Hendrickson Student in an Organized Health Care Education/Training Program 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 2016-06-09
1114376597 Jessica Finley Internal Medicine 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 2016-06-07
1144679895 Eric T Burgh Student in an Organized Health Care Education/Training Program 5050 Ne Hoyt St, Ste 540, Portland, OR 97213-2991 2016-06-03
1457709123 Emily C. Nguyen, M.d., P.C. Specialist 5050 Ne Hoyt St, Suite 611, Portland, OR 97213-2991 2016-06-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578049631 Credena Health LLC Pharmacy 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 2018-07-12
1023507795 Karissa Lynn Schwartz Speech-Language Pathologist Providence Portland Medical Center, 4805 Ne Glisan St, Portland, OR 97213 2018-05-08
1770094260 Rachel Wysocki Chiropractor 1619 Ne 42nd Ave, Portland, OR 97213 2017-10-24
1861944506 James Livingston Taylor Chiropractor 5212 Ne Sacremento St., Portland, OR 97213 2016-10-28
1962958520 Caitlin Turner Massage Therapist 4317 Ne Tillamook St., Portland, OR 97213 2016-09-01
1891155677 Carissa Marie St. Onge Carneiro Advanced Practice Midwife 545 Ne 47th Ave Ste 102, Portland, OR 97213 2016-03-07
1326407008 Julianna Vermeys Counselor 4605 Ne Fremont St., 209a, Portland, OR 97213 2016-02-23
1881059822 Thomas Michael Barrett Counselor 5228 Ne Hoyt St. Bldg. B, Portland, OR 97213 2015-12-17
1891168399 J Whiskey Northrop Acupuncturist 1716 Ne 42nd Avenue, Temple Medicine Healing, Portland, OR 97213 2015-11-05
1538545082 Jaime Ethan Biava Nurse Practitioner 5228 Ne Hoyt St Bldg B2nd, Portland, OR 97213 2015-08-07
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Taxonomy Information

Taxonomy Code 207RX0202X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Medical Oncology

Taxonomy Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source. 11/5/2007: corrected definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013932854 Robert Charles Lufkin Internal Medicine 5050 Ne Hoyt St Ste 256, Portland, OR 97213-2982 2006-07-13
1851323679 Kathleen Kemmer Internal Medicine 3303 Sw Bond Ave Ste 7, Portland, OR 97239-4501 2006-07-06
1265475198 Maria Gia Gregorio Internal Medicine 10859 Nw Supreme Ct, Portland, OR 97229-8816 2006-06-14
1558364570 Bruce Wilson Dana Internal Medicine 5050 Ne Hoyt St, Ste 256, Portland, OR 97213-2982 2005-05-23
1255740965 Providence Health & Services - Oregon Internal Medicine 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 2014-08-06
1437595857 Providence Health & Services - Oregon Internal Medicine 4805 Ne Glisan St, Suite 6n40, Portland, OR 97213-2933 2013-05-13
1295171767 Providence Health & Services - Oregon Internal Medicine 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 2013-05-10
1346520327 Providence Health & Services - Oregon Internal Medicine 9135 Sw Barnes Rd, Suite 261, Portland, OR 97225-6784 2011-08-23
1700166782 Providence Health & Services - Oregon Internal Medicine 4805 Ne Glisan St, Suite 6n50, Portland, OR 97213-2933 2011-08-23
1801193339 Providence Health & Services - Oregon Internal Medicine 4805 Ne Glisan St, Ste 6n50, Portland, OR 97213-2933 2011-02-18
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97213

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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