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TACOMA RADIATION ONCOLOGY CENTER INC PS NPI 1255449146


NPI Information

NPI: 1255449146
Provider Name: TACOMA RADIATION ONCOLOGY CENTER INC, PS

Doing Business As: TACOMA VALLEY RADIATION ONCOLOGY CENTERS

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1802 YAKIMA AVE STE 103
TACOMA, WA
ZIP 98405
Phone: (253) 272-1077
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TACOMA RADIATION ONCOLOGY CENTER INC, PS is a radiation oncology radiology in Tacoma, WA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. TACOMA RADIATION ONCOLOGY CENTER INC, PS NPI is 1255449146. The provider is registered as an organization entity type.
The provider Is Doing Business As Tacoma Valley Radiation Oncology Centers.

The provider's business location address is:

1802 YAKIMA AVE STE 103
TACOMA, WA
ZIP 98405-303
Phone: (253) 272-1077
Fax: (253) 627-8792

The provider's authorized official is Betty Ruth Sable .
The authorized official title is Cfo and has the following contact phone number (253) 779-6331.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 10/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QX0203XClinic/CenterOncology, Radiation601219594WASHINGTONNo
22085R0001XRadiologyRadiation OncologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17058480MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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