Cynthia Barbara Aller, D.O., PH.D.

Individual provider Active NPI Hematology & Oncology Physician · Lacey, WA

NPI 1194906016 · NPPES record last updated Apr 5, 2021

Key facts

NPI
1194906016
Entity type
Individual (NPI type 1)
Primary specialty
Hematology & Oncology Physician 207RH0003X
License
OP60446166 (WA)
Practice address
4525 3Rd Ave SE
Ste 200
Lacey, WA 98503-1010
Phone
(360) 754-3934
Fax
(360) 943-8023
NPI assigned
Nov 20, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Hematology/Oncology
Education
Midwestern University, Chicago College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services Washington (480 clinicians)

Practice addresses (Care Compare)

413 Lilly Rd NE
Olympia, WA 98506-5133
Phone (360) 493-4083

525 Lilly Rd NE
Olympia, WA 98506-5101

Hospital & facility affiliations

  • Providence St Peter Hospital Hospital · Olympia, WA · CCN 500024
  • Providence Centralia Hospital Hospital · Centralia, WA · CCN 500019
  • Grays Harbor Community Hospital Hospital · Aberdeen, WA · CCN 500031

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20150409002274 WA Practitioner - Hematology/Oncology 2466529268 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Philosophy

Interoperability endpoints

  • Direct secure messaging: caller505100@wm.providencedirect.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X OP60446166 WA Yes

Addresses

Primary practice location

4525 3Rd Ave SE
Ste 200
Lacey, WA 98503-1010

Mailing address

PO Box 3360
Portland, OR 97208-3360

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address caller505100@wm.providencedirect.org Direct

Other providers in Lacey, WA

All providers in Lacey, WA · Hematology & Oncology Physician in Washington

Sources for this page

Verify at the official NPI Registry.