Healthcare Provider Details

I. General information

NPI: 1326249541
Provider Name (Legal Business Name): ARGUS ONCOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 2ND ST NE SUITE B
AUBURN WA
98002-5040
US

IV. Provider business mailing address

PO BOX 339
FOX ISLAND WA
98333-0339
US

V. Phone/Fax

Practice location:
  • Phone: 253-887-0165
  • Fax: 253-887-0169
Mailing address:
  • Phone: 253-887-0165
  • Fax: 253-887-0169

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QX0200X
TaxonomyOncology Clinic/Center
License NumberMD00017869
License Number StateWA

VIII. Authorized Official

Name: DR. RONALD S GOLDBERG
Title or Position: OWNER
Credential:
Phone: 253-887-0165