Healthcare Provider Details

I. General information

NPI: 1083902746
Provider Name (Legal Business Name): FRED HUTCHINSON CANCER CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2011
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

207 PONTIUS AVE N SUITE 101
SEATTLE WA
98109-5650
US

IV. Provider business mailing address

207 PONTIUS AVE N STE 101
SEATTLE WA
98109-4698
US

V. Phone/Fax

Practice location:
  • Phone: 206-288-7416
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: NANCY DAVIDSON
Title or Position: SENIOR VP
Credential:
Phone: 206-667-6363