| NPI | 1710292404 |
|---|---|
| Doing Business As | PROVIDENCE CANCER SURVIVOR CLINIC - EAST |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Sec Enrollment 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2025-05-05 |