Healthcare Provider Details

I. General information

NPI: 1841450301
Provider Name (Legal Business Name): VISTA ONCOLOGY INC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2008
Last Update Date: 05/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 LILLY RD NE
OLYMPIA WA
98506-5028
US

IV. Provider business mailing address

141 LILLY RD NE
OLYMPIA WA
98506-5028
US

V. Phone/Fax

Practice location:
  • Phone: 360-413-8880
  • Fax: 888-629-7609
Mailing address:
  • Phone: 360-413-8880
  • Fax: 888-629-7609

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JOSEPH ZHOU YE
Title or Position: PRESIDENT
Credential: MD
Phone: 360-352-2900