| NPI | 1417136995 |
|---|---|
| Doing Business As | PROVIDENCE ONCOLOGY & HEMATOLOGY CARE CLINIC |
| Doing Business As | PROVIDENCE MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DONALD W ANDERSON A VP Reimbursement/Ass Sec Enrollmen 425-525-5392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2024-05-19 |