NPI 1639215932 · live from the CMS NPI Registry
Willard Abe Andes, MD
Internal Medicine, Medical Oncology in Longview, WA. National Provider Identifier 1639215932, active.
NPI record
| NPI | 1639215932 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Medical Oncology 207RX0202X |
| Practice location | 1615 Delaware St, Longview, WA 98632 |
| Practice phone | 360-414-7878 |
| Mailing address | 403 S America St, Covington, LA 70433 |
| Enumerated | January 30, 2007 |
| Last updated | July 21, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Medical Oncology primary | 207RX0202X | MD61081628 (WA) |
| Internal Medicine | 207R00000X | MD61081628 (WA) |
| Internal Medicine, Hematology | 207RH0000X | MD61081628 (VA) |
| Internal Medicine, Hematology & Oncology | 207RH0003X | 35830 (NC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.