Provider Demographics
NPI:1831532936
Name:ADVANCE RADIATION CENTER OF SEATTLE, LLC
Entity type:Organization
Organization Name:ADVANCE RADIATION CENTER OF SEATTLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TSEY-HAYE
Authorized Official - Middle Name:Y
Authorized Official - Last Name:PASLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-589-6879
Mailing Address - Street 1:6565 WEST LOOP S
Mailing Address - Street 2:SUITE 400
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3500
Mailing Address - Country:US
Mailing Address - Phone:713-589-6879
Mailing Address - Fax:713-863-8308
Practice Address - Street 1:200 ANDOVER PARK E
Practice Address - Street 2:SUITE 3
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98188-2938
Practice Address - Country:US
Practice Address - Phone:206-922-6400
Practice Address - Fax:206-242-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA6032911482085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation OncologyGroup - Single Specialty