Organization · Type 2 NPI

Monday, July 02, 2018

Hematology & Oncology Physician · Olympia, WA

NPI number 1902457211 Active

Practice location

3920 Capital Mall Dr SW Ste 100
Olympia, WA 98502-8701

Call (360) 345-1382 Map

Fax (360) 345-1382

Mailing address

9160 Forum Corporate Pkwy Ste 350
Fort Myers, FL 33905-7808

Specialties and licenses

Taxonomy	Code	License
Hematology (Internal Medicine) Physician	207RH0000X	None listed
Hematology & Oncology Physician Primary	207RH0003X	None listed
Medical Oncology Physician	207RX0202X	None listed

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1902457211

Monday, July 02, 2018's National Provider Identifier is 1902457211, issued on Sep 27, 2019. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Olympia, WA. The record was last updated on Sep 27, 2019.