referral form - Compass Oncology

Name __________________________________________________________________
Your appointment is scheduled for:
 Mon
 Tues
 Wed
 Thur
Date ______________________________
 Fri
Time ______________________________
Please select office and practitioner
 Adventist
10101 SE Main Street, Suite 1012
Portland, OR 97216
T 503 256 3627 | F 503 252 8983
Hematology/Oncology:
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Robert Lufkin, DO
Rebecca Orwoll, MD
David Regan, MD
Prashant Shankar, MD
Miklos Simon, MD
Edward Soo, MD
 Compass Breast Specialists
T 503 528 5343
(Appointments are available
at multiple locations.)
Hematology/Oncology:
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Jay Andersen, MD
Kathleen Fielder, MD
Lucy Langer, MD
Regan Look, MD
Rebecca Orwoll, MD
John Smith II, MD
Magdolna Solti, MD
Radiation Oncology:
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Nico de Wette, MD
Carrie Gotkowitz, MD
Gregory Patton, MD
Scott Schneider, MD
Breast Surgical Oncology:
 Tammy De La Melena, MD
 Toni Storm-Dickerson, MD
Genetic Risk Evaluation (GREAT)
 Lucy Langer, MD
 Lisa Clark, FNP
High Risk Nurse Practitioner:
 Susan Zaretsky, FNP-C
Nurse Navigator:
 Diagnostic Lab Services
1498 Tech Center Place, Suite 390
Vancouver, WA 98683
T 360 597 1050 | F 360 891 7753
Hematopathology:
 Justin Cole, MD
 Dan Hyder, MD
 East
5050 NE Hoyt Street, Suite 256
Portland, OR 97213
T 503 239 7767 | F 503 215 6897
Hematology/Oncology:
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Robert Lufkin, DO
Jeffrey Menashe, MD
Rebecca Orwoll, MD
David Regan, MD
Prashant Shankar, MD
Miklos Simon, MD
John Smith II, MD
Edward Soo, MD
Sarah Rankin, PA-C
 Rose Quarter
265 N Broadway
Portland, OR 97227
T 503 280 1223 | F 503 528 5252
Hematology/Oncology:
T 503 280 1223
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Regan Look, MD
Gerald Segal, MD
Spencer Shao, MD
Anthony Van Ho, MD
Ralph Weinstein, MD
Radiation Oncology:
T 503 528 5013
 Nico de Wette, MD
 Gregory Patton, MD
 Vanessa Sanne, FNP-C
 Rose Quarter (Continued )
 Vancouver (Continued )
Gynecologic Oncology/
Pelvic Surgery:
T 503 274 4885
 Joyce Koerber PA-C
 Tracy Webb, PA-C
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Colleen McCormick, MD
Paul Tseng, MD
William Winter III, MD
Jennifer Christiansen, PA-C
Caroline Fung, PA-C
Charlotte Haws, PA-C
Evonne Kandas, WHCNP
Jun Ma, AOCNP, PhD
Palliative Care:
T 503 280 1223
Radiation Oncology:
 Carrie Gotkowitz, MD
 Scott Schneider, MD
Gynecologic Oncology/
Pelvic Surgery:
 Colleen McCormick, MD
 R. Scott Rushing, MD
Breast Surgical Oncology:
 Angela Kalisiak, MD
 Toni Storm-Dickerson, MD
 Heather Wood RN, OCN
 Tualatin
 West
19260 SW 65th Avenue, Suite 435
Tualatin, OR 97062
T 503 692 2032 | F 503 692 4450
9555 SW Barnes Road, Suite 150
Portland, OR 97225
T 503 297 7403 | F 503 384 9908
Hematology/Oncology:
Hematology/Oncology:
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Edward Chang, MD
Kathleen Fielder, MD
Huan Ha, MD
Ian Schnadig, MD
Tawna Pangborn, FNP-C
Susan Zaretsky, FNP-C
 Vancouver
210 SE 136th Avenue
Vancouver, WA 98684
T 360 944 9889 | F 360 944 9686
Hematology/Oncology:
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Marcus Braun, MD
Matthew Brouns, MD
Kathryn Kolibaba, MD
David Smith, MD
Magdolna Solti, MD
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Jay Andersen, MD
Daniel Gruenberg, MD
Lucy Langer, MD
Amy Scheer, PA-C
Gynecologic Oncology/
Pelvic Surgery:
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Jim Gosewehr, MD
Lisa McCluskey, MD
William Winter III, MD
Caroline Fung, PA-C
Sarah Simons, PA-C
Breast Surgical Oncology:
 Tammy De La Melena, MD
 Susan Zaretsky, FNP-C
Genetic Risk Evaluation (GREAT)
 Lucy Langer, MD
 Lisa Clark, FNP
 Jen Steen-Reavis, RN, CBPN-IC
 Heather Wood RN, OCN, CN-BN
Current as of 11/2014
Dear Patient,
Your physician has referred you to Compass Oncology for care.
We recognize this is often an emotional time and we are here to help. Please be assured, our role is to serve
as expert guide, partner and friend during your treatment journey. Each of our 41 physicians, 16 certified
physician assistants and nurse practitioners, 62 nurses and the region’s finest support staff are united in our
goal to provide you with comprehensive, leading-edge oncology and hematology treatment.
The Compass Oncology team
MLK Blvd.
SE 52nd Ave.
NE 47th Ave.
SE 39th Ave.
NW Broadway
NE Weidler St.
EXIT 302A
e.
SE 49th Ave.
Grand Ave.
SE 106th Ave.
SE 103rd Ave.
SE 99th Ave.
SE 100th
NE Broadway
el
Steridge
B
t Av
SE 112th Ave.
NE Flanders St.
NE Everett St.
Fron
SE 96th Ave.
NE Hoyt St.
Providence
Hospital
NW
84
VANCOUVER
210 SE 136th Ave. Vancouver, WA 98684
WEST (In the Peterkort Center I building)
9555 SW Barnes Rd., Ste 150 Portland, OR 97225
EXIT 28
SOUTH
Portland
SE 136th Ave.
Tigard
D
an
ar m
SW C
r.
I-5
e.
ler Av
e.
ss Av
EXIT 3
Rose
Garden
Arena
EXIT 302A
Burnside
Bridge
TUALATIN
19260 SW 65th Ave., Ste 435 Tualatin, OR 97062
Rd.
Whee
y
dwa
Broaidge
Br
SE Division St.
S W D urh a m
o
. NR
Ave
r
84
East
.
E Burnside St
Rive
Frazer Park
ette
Normandale
Park
EXIT 2
NE Glisan St.
Rose Quarter
ate
NE Halsey St.
84
Professional
SE Main St.
Office Building #2
Adventist
Medical
Center
205
rst
SE Stark St.
I-5
nte
Sa
NE
Adventist
SE Market St.
405
vd.
Bl
ndy
lam
Mall 205
EXIT 20
ROSE QUARTER
265 N Broadway Portland, OR 97227
Wil
SE Washington St.
EAST (In the Providence Professional Plaza)
5050 NE Hoyt St., Ste 256 Portland, OR 97213
NI
E Burnside St.
SE 102nd Ave.
ADVENTIST
10101 SE Main St., Ste 1012 Portland, OR 97216
West
l Dr.
ne Mil
SW B
oone
s
Ferry
SW Sagert St.
Tualatin
EXIT 28
NORTH
Cascade Park
Meridian Park
Hospital
SW Borland Rd.
I-5
205
14
Oregon City
.
Ave
26
ltic
Plain Blv
d.
St. Vincent
Medical Center
SW
EXIT 69B
SE 7th Ave.
Sunset Hw
y
Wy’east
School/Park
d.
es R
Barn
Ba
SE Mill
SE McGillivray
B lv d.
EXIT 3
205
Vancouver
SW
Stafford Rd.
SW 65th Ave.
Rd.
EXIT 289
SE Sto
SE 131st Ave.
SW Nyberg St.
.
d Rd
woo
Sher
n
i
t
a
Tual
SE 132nd Ave.
EXIT 289
26