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General NPI Number Information
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NPI Number | 1184632572
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Entity Type | Organization
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Legal Business Name | TUMOR INSTITUTE RADIATION ONCOLOGY GROUP LLP
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 1221 MADISON ST FIRST FLOOR
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City | SEATTLE
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State | WA
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Zip | 98104-3589
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Country | US
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Telephone | 206-386-2323
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Fax | 206-385-6150
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Provider Business Mailing Address
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Address Line | PO BOX 749730
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City | LOS ANGELES
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State | CA
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Zip | 90074-9730
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Country | US
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Telephone | 888-709-4485
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Fax | 302-733-0854
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARY MONAHAN
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Credential |
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Telephone | 206-320-7129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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