Organization
NORTHWEST MEDICAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REX HAYES MBA, CMPE (BUSINESS MANAGER)
(253) 428-8700
Entity
Organization
Contact information
Practice address
11511 CANTERWOOD BLVD, SUITE 45, GIG HARBOR, WA 98332
(253) 858-4725
(253) 858-4452
Mailing address
1624 SOUTH I STREET, SUITE 305, TACOMA, WA 98405
(253) 428-8700
(253) 383-3376
Taxonomy
Speciality
Code
Description
License number
State
364SX0200X
Oncology Clinical Nurse Specialist
Primary
AP60711956
WA
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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