NPI | 1316197692 |
---|---|
Doing Business As | PROVIDENCE EASTSIDE ONCOLOGY & HEMATOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2008-09-24 |
Last Update Date | 2021-04-16 |