Organization
VISTA ONCOLOGY INC PS
Active
Parent organization
VISTA ONCOLOGY INC PS
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISTA ONCOLOGY INC PS
Authorized official
MR. ERIC ZHANG RN (OFFICE MANAGER)
(360) 413-8880
Entity
Organization
Contact information
Practice address
141 LILLY RD NE, OLYMPIA, WA 98506-5028
(360) 413-8880
(360) 350-4838
Mailing address
141 LILLY RD NE, OLYMPIA, WA 98506-5028
(360) 413-8880
(360) 350-4838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00043241
WA
174400000X
Specialist
MD00043519
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7142987
—
WA
05
—
8391430
—
WA
05
—
8392730
—
WA
Enumeration date
04/20/2010
Last updated
04/20/2010
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