Organization
CANCER INSTITUTES OF WASHINGTON, PLLC
Active
Other names
Washington Hematology Oncology
Organization subpart
No
Provider details
NPI number
Authorized official
ALBERT MICHAEL BRADY MD (PHYSICIAN / OWNER)
(509) 454-9499
Entity
Organization
Contact information
Practice address
3911 CASTLEVALE RD, SUITE 201, YAKIMA, WA 98902-7807
(509) 454-9499
(509) 457-4994
Mailing address
PO BOX 996, HAYDEN, ID 83835-0996
(208) 664-4026
(208) 664-4840
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
MD00044836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7115017
—
WA
Enumeration date
07/30/2006
Last updated
12/31/2013
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