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NPI Profile for CANCER CARE NORTHWEST CENTERS P S in SPOKANE VALLEY, WA.
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hematology & Oncology |
207RH0003X | 11 | Physician/Internal Medicine | |
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical Oncology |
207RX0202X | 11 | Physician/Internal Medicine | |
Non-Pharmacy Dispensing Site |
332900000X | 87 | All Other Suppliers | |
Physician Assistant |
363A00000X | 97 | Physician Assistant | |
Radiation Oncology |
2085R0001X | 92 | Physician/Radiation Oncology | |
Surgical Oncology |
2086X0206X | 02 | Physician/General Surgery |
| NPI # | 1922072081 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/15/2006 | |
| Last updated | 06/02/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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CANCER CARE NORTHWEST CENTERS P S
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CANCER CARE NORTHWEST CENTERS P S