NORTHWEST CANCER SPECIALISTS, PC (NPI# 1548506587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548506587 |
| Entity Type | Organization |
| Organization Name | NORTHWEST CANCER SPECIALISTS, PC |
| Other Organization Name | COMPASS ONCOLOGY |
| Practice Address |
1498 Se Tech Center Pl Suite 390 Vancouver WA 98683-9591 |
| Mailing Address |
1498 Se Tech Center Pl Suite 240 Vancouver WA 98683-9591 |
| Practice Telephone | 3605971050 |
| Mailing Telephone | 3605971300 |
| Enumeration Date | 2012-12-19 |
| Last Update Date | 2017-03-09 |
| Authorized Official Name | GREGORY A. PATTON (PRACTICE PRESIDENT) |
| Authorized Official Telephone | 5032801223 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 50D1036807 | WA | Laboratories |
| Other Name | Type Code |
|---|---|
| Compass Oncology | Doing Business As Name - Organization |
| Street Address |
1498 SE TECH CENTER PL SUITE 390 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-9591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626232 | Jessica Ann Dorrington | Physical Therapist | 1498 Se Tech Center Pl, Ste 160, Vancouver, WA 98683-9591 | 2005-11-16 |
| 1942709134 | David Lee Taub | Counselor | 1498 Se Tech Center Pl, Vancouver, WA 98683-9591 | 2018-02-02 |
| 1518418854 | Andrea Hamilton | Dietitian, Registered | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-10-21 |
| 1245685684 | Lisa Hansen | Clinical Nurse Specialist | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-05-03 |
| 1871971234 | Shelby Ross | Physician Assistant | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2015-05-18 |
| 1053711655 | Emily Watts | Counselor | 1498 Se Tech Center Pl, Suite 383, Vancouver, WA 98683-9591 | 2014-09-02 |
| 1215364237 | Argyro Julie Moustakas | Counselor | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2013-10-04 |
| 1508201906 | River Rock Church | Social Worker | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2013-04-30 |
| 1982976387 | Adams Center for Psychological Wellness, LLC | Psychologist | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2012-01-31 |
| 1194040139 | Kathleen Alison Dunham | Surgery | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2010-04-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1790021517 | Blackfly Investments LLC | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2012-12-26 |
| 1164710893 | Labtran Clinical Laboratories, LLC | Clinical Medical Laboratory | 2404 E Mill Plain Blvd Ste B, Vancouver, WA 98661-4334 | 2011-07-15 |
| 1174987309 | Sirona Dx Inc. | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2016-04-13 |
| 1164881702 | Cureseq Inc. | Clinical Medical Laboratory | 14401 Se 1st St, Vancouver, WA 98684-3503 | 2016-02-10 |
| 1205080272 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2008-11-04 |
| 1568616530 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 14406 Ne 20th Ave, Vancouver, WA 98686-1448 | 2008-11-04 |
| 1861646838 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 7101 Ne 137th Ave, Vancouver, WA 98682-4933 | 2008-11-04 |
| 1750535720 | Kaiser Foundation Health Plan of The Northwest | Clinical Medical Laboratory | 2211 E Mill Plain Blvd, Vancouver, WA 98661-4329 | 2008-11-04 |
| 1174772313 | Rayme Elizondo | Clinical Medical Laboratory | 12607 Se Mill Plain Blvd, Vancouver, WA 98684-6055 | 2008-09-11 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.