Organization
THE TRI-CITIES CANCER CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W DEGOOYER (CEO)
(509) 783-9894
Entity
Organization
Contact information
Practice address
7350 W DESCHUTES AVE, BLDG A, KENNEWICK, WA 99336-7802
(509) 783-9894
(509) 783-3194
Mailing address
7350 W DESCHUTES AVE, BLDG A, KENNEWICK, WA 99336-7802
(509) 783-9894
(509) 783-3194
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470000264
RAILROAD ID #
WA
05
—
7060171
—
WA
Enumeration date
12/06/2005
Last updated
08/06/2020
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