# CANCER CARE NORTHWEST CENTERS P S

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cancer Care Northwest
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922072081
- **Authorized official:** ROD EMERSON (CEO)
- **Authorized official phone:** (509) 228-1000

## Contact information

- **Practice address:** 1204 N VERCLER RD, SPOKANE VALLEY, WA 99216-1020
- **Practice address phone:** (509) 228-1000
- **Mailing address:** 1204 N VERCLER RD, SPOKANE VALLEY, WA 99216-1020
- **Mailing address phone:** (509) 228-1000
- **Mailing address fax:** (509) 252-9300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 207RH0003X | Hematology & Oncology Physician | — | NULL | Yes |
| 207RH0003X | Hematology & Oncology Physician | — | — | Yes |
| 207RX0202X | Medical Oncology Physician | — | NULL | — |
| 207RX0202X | Medical Oncology Physician | — | — | — |
| 2085R0001X | Radiation Oncology Physician | — | NULL | — |
| 2085R0001X | Radiation Oncology Physician | — | — | — |
| 2086X0206X | Surgical Oncology Physician | — | NULL | — |
| 2086X0206X | Surgical Oncology Physician | — | — | — |
| 332900000X | Non-Pharmacy Dispensing Site | — | NULL | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/15/2006
- **Last updated:** 06/02/2023