| NPI | 1982856886 |
|---|---|
| Doing Business As | PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON RADIATION ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | DONALD W. ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0001X (Licence: WA H-050) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2025-05-06 |