| Organization Name: | PROVIDENCE HEALTH & SERVICES MT |
| NPI Number: | 1326483587 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TERI MASTERS (MANAGER) |
| Mailing Address: | 24001 East Mission Ave. Ste 105 Providence Healtlh And Services, Montana Liberty Lake |
| State: | WA US |
| Postal Code: | 990190012 |
| Phone Number: | 4063271918 |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2013 |
| NPI Last Update Date: | 05/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RX0202X |
| License Number: | 13200 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MT |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Medical Oncology |
| Taxonomy Definition: | An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer. |