Organization
CANCER CARE NORTHWEST CENTERS P S
Active
Other names
Cancer Care Northwest
Organization subpart
No
Provider details
NPI number
Authorized official
ROD EMERSON (CEO)
(509) 228-1000
Entity
Organization
Contact information
Practice address
1204 N VERCLER RD, SPOKANE VALLEY, WA 99216-1020
(509) 228-1000
Mailing address
1204 N VERCLER RD, SPOKANE VALLEY, WA 99216-1020
(509) 228-1000
(509) 252-9300
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207RH0003X
Hematology & Oncology Physician
Primary
—
—
207RX0202X
Medical Oncology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26412
LABOR & INDUSTRIES
WA
05
—
7115108
—
WA
01
—
757523001
DME
WA
Enumeration date
02/15/2006
Last updated
06/02/2023
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