Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Michael Marietta, MD

Individual provider Surgery Physician · NPI 1669823985

Michael Marietta, MD is a Radiation Oncology in Roseburg, Oregon. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2016, 10 years ago. Practices with Community Cancer Foundation, a 3-clinician group and accepts Medicare assignment. Licensed in Iowa and Oregon.

Years since qualifying
10
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IA, OR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2880 NW Stewart Pkwy Ste 100
Roseburg, OR 97471-1203
Phone: (541) 673-2267
Fax: (541) 672-9483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence MD206700 (OR)
Surgery Physician Taxonomy 208600000X · Licence R-10677 (IA)

Record details

NPI number1669823985
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 28, 2016
Last updated in NPPESSeptember 7, 2021
Certification dateSeptember 7, 2021
Mailing address1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyRADIATION ONCOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2016 (10 years in practice)
Group practice Community Cancer Foundation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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