| NPI | 1295171767 |
|---|---|
| Doing Business As | PROVIDENCE WEST ONCOLOGY PALLIATIVE CARE CLINIC |
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2024-09-18 |