| NPI | 1619575933 |
|---|---|
| Other Name | PROVIDENCE REGIONAL CANCER PARTNERSHIP EVERETT |
| Entity Type | Organization |
| Authorized Contact | GEORGE GO Board President 425-259-0966 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2024-04-10 |