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General NPI Number Information
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NPI Number | 1861480857
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Entity Type | Individual
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Provider Name | GARY CECCHI M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/12/2005
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 505 NE 87TH AVE STE 320
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City | VANCOUVER
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State | WA
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Zip | 98664-1965
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Country | US
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Telephone | 360-514-2550
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Fax | 360-514-1927
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Provider Business Mailing Address
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Address Line | PO BOX 741716
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City | ATLANTA
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State | GA
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Zip | 30374-1716
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G47070
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | G47070
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD-20418
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License Number State | HI
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | MD61048592
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | LT21604
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | M-15375
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License Number State | ID
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