Organization
TUMOR INSTITUTE RADIATION ONCOLOGY GROUP LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MONAHAN (ADMINISTRATOR)
(206) 320-7129
Entity
Organization
Contact information
Practice address
1221 MADISON ST, FIRST FLOOR, SEATTLE, WA 98104-3589
(206) 386-2323
(206) 385-6150
Mailing address
PO BOX 749730, LOS ANGELES, CA 90074-9730
(888) 709-4485
(302) 733-0854
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805203
—
WA
01
—
CS0846
RAILROAD MEDICARE-PALMETTO GBA
WA
Enumeration date
08/03/2006
Last updated
07/05/2022
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