Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD60654415 | WA |
NPI | 1013095660 |
---|---|
Provider Name | Monique C. Semien |
First Address | Portland, OR 97208-3360 |
Second Address | Lacey, WA 98503-1010 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 01/03/2021 |