Provider Demographics
NPI:1194013300
Name:RAINIER CANCER CENTER, PLLC
Entity Type:Organization
Organization Name:RAINIER CANCER CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:H
Authorized Official - Last Name:BRASHEARS
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:941-726-4991
Mailing Address - Street 1:540 26TH AVE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-6122
Mailing Address - Country:US
Mailing Address - Phone:941-726-4991
Mailing Address - Fax:
Practice Address - Street 1:540 26TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-6122
Practice Address - Country:US
Practice Address - Phone:941-726-4991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-21
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD.602178302085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty