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Organization
NORTHWEST CANCER CLINIC, LLC
Active
Organization
NORTHWEST CANCER CLINIC, LLC
Active
Other names
NORTHWEST CANCER CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHEILA REGE MD (MEMBER)
(509) 987-1800
Entity
Organization
Contact information
Practice address
7379 W DESCHUTES AVE, KENNEWICK, WA 99336-7900
(509) 987-1800
(509) 987-1808
Mailing address
7379 W DESCHUTES AVE, STE 100, KENNEWICK, WA 99336-7900
(509) 987-1800
(509) 987-1808
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
603 042 491
WA
Other
Enumeration date
11/28/2011
Last updated
11/20/2013
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