NPI | 1437595857 |
---|---|
Doing Business As | PROVIDENCE MEDICAL GROUP |
Doing Business As | PROVIDENCE EAST ONCOLOGY PALLIATIVE CARE CLINIC |
Entity Type | Organization |
Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Enrollment 425-358-9786 |
Organization Subpart ? | No |
Primary Taxonomy | 207RX0202X Internal Medicine, Medical Oncology |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2013-05-13 |
Last Update Date | 2025-07-04 |