Healthcare Provider Details

I. General information

NPI: 1407828114
Provider Name (Legal Business Name): NORTHWEST CANCER SPECIALISTS PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2006
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1498 SE TECH CENTER PL SUITE 240
VANCOUVER WA
98683-9591
US

IV. Provider business mailing address

PO BOX 846049
LOS ANGELES CA
90084-6049
US

V. Phone/Fax

Practice location:
  • Phone: 360-597-1300
  • Fax: 360-597-1400
Mailing address:
  • Phone: 360-597-1300
  • Fax: 360-597-1400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207VX0201X
TaxonomyGynecologic Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State

VIII. Authorized Official

Name: RODNEY SCOTT RUSHING
Title or Position: PRACTICE PRESIDENT
Credential: MD
Phone: 360-597-1313