Dr. Mandy Deann Robertson, MD
Internal Medicine, Medical Oncology in Olympia, WA. Individual provider (NPI-1).
NPI number1790730174
StatusActive
Last updated in NPPESOct 3, 2024
Details
- NPI
- 1790730174
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mandy Deann Robertson
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 23, 2006
- Certification date
- Oct 3, 2024
- Last updated
- Oct 3, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - HEMATOLOGY/ONCOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RX0202X | Internal Medicine, Medical Oncology | MD00040630 | WA | Yes |
| 207RH0000X | Internal Medicine, Hematology | MD00040630 | WA | |
| 207RH0003X | Internal Medicine, Hematology & Oncology | C143490 | CA |
Practice location
700 Lilly Rd NeOlympia, WA 98506-5115
Phone 360-923-7000 · Fax 360-923-7089
Mailing address
57 Puget DrSteilacoom, WA 98388-1526
Phone 509-293-3259
Other practice locations
265 Cohasset Rd
Chico, CA 95926-2273
Chico, CA 95926-2273
Phone 530-332-3808 · Fax 530-893-6907
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Other Medical Oncology Physician providers in Olympia, WA
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