Organization · Type 2 NPI

Providence Health & Services Washington

Radiation Oncology Clinic/Center · Aberdeen, WA

NPI number 1457721250 Active

Practice location

1200 Basich Blvd
Aberdeen, WA 98520-1035

Call (360) 537-8801 Map

Fax (360) 537-8782

Mailing address

PO Box 31001-4110
Pasadena, CA 91110-4110

Specialties and licenses

Taxonomy	Code	License
Radiation Oncology Clinic/Center Primary	261QX0203X	None listed

Radiation Oncology Clinic/Center: Definition to come...

NPI record

NPI: 1457721250
Entity type: Organization (Type 2)
Issued: Oct 6, 2015
Last updated: May 5, 2025
Status: Active

Other names

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Providence Centralia Hospital · doing business as
Providence Centralia Hospital · doing business as

Authorized official

Mr. Donald Wayne Anderson
Assistant Secretary for Enrollment
(425) 358-9786

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1457721250

Providence Health & Services Washington's National Provider Identifier is 1457721250, issued on Oct 6, 2015. The primary taxonomy on file is Radiation Oncology Clinic/Center (261QX0203X), and the practice location is in Aberdeen, WA. The record was last updated on May 5, 2025.