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Organization
PENINSULA RAD ONC CTR LLC
Active
Organization
PENINSULA RAD ONC CTR LLC
Active
Other names
TACOMA RAD ONC CTR INC MBR
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETTY SABLE (CFO)
(253) 779-6325
Entity
Organization
Contact information
Practice address
11511 CANTERWOOD BLVD STE 50, GIG HARBOR, WA 98332-5816
(253) 779-6325
(253) 627-8792
Mailing address
4230 BRIDGEPORT WAY W STE B, UNIVERSITY PLACE, WA 98466-4335
(253) 779-6325
(253) 627-8792
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
WA
Other
Enumeration date
10/16/2008
Last updated
09/09/2020
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