Western Washington Oncology

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WESTERN WASHINGTON ONCOLOGY

Practice address

1800 Cooks Hill Rd
Suite F
Centralia, WA 98531-9072

Phone

(360) 330-8939

NPI assigned

Nov 8, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Melody Edgington

Title

Ceo

Phone

(360) 754-3934

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1033289152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 3RD AVE SE",
            "address_2": "SUITE 200",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031010",
            "telephone_number": "360-754-3934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOKS HILL RD",
            "address_2": "SUITE F",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985319072",
            "telephone_number": "360-330-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN WASHINGTON ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "EDGINGTON",
        "authorized_official_first_name": "MELODY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-754-3934"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7086648",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wellspring Centralia LLC
• Jasen Kyle Wenzelburger
• Kelsey West
• Marvin Troy Westergard
• Western Washington Foot & Ankle Specialists, Inc
• Heather Anne Whalen
• Anthony Guytono White
• Leanna F White, DPT
• Sean Whittaker
• Richard Whittington, S.U.D.P.

• Specialist in Centralia, WA
• Providers in Centralia, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.