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Organization

NORTHWEST CANCER CLINIC, LLC

Active
Other names
NORTHWEST CANCER CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHEILA REGE MD (MEMBER)
(509) 987-1800
Entity
Organization

Contact information

Practice address
7379 W DESCHUTES AVE, KENNEWICK, WA 99336-7900
(509) 987-1800
(509) 987-1808
Mailing address
7379 W DESCHUTES AVE, STE 100, KENNEWICK, WA 99336-7900
(509) 987-1800
(509) 987-1808

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
603 042 491
WA

Other

Enumeration date
11/28/2011
Last updated
11/20/2013
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