Organization
WESTERN WASHINGTON ONCOLOGY PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY EDGINGTON (PRACTICE ADMINISTRATOR)
(360) 754-3934
Entity
Organization
Contact information
Practice address
4525 3RD AVE SE, SUITE 200, LACEY, WA 98503-1010
(360) 754-3934
Mailing address
4525 3RD AVE SE, SUITE 200, LACEY, WA 98503-1010
(360) 754-3934
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7086648
—
WA
Enumeration date
09/02/2005
Last updated
07/21/2022
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