Cascade Facial Surgery And Aesthetics
Plastic Surgery, Plastic Surgery Within the Head and Neck in Mount Vernon, WA. Organization (NPI-2).
NPI number1124458583
StatusActive
Last updated in NPPESMay 4, 2023
Details
- NPI
- 1124458583
- Entity type
- Organization (NPI-2)
- Legal business name
- Cascade Facial Surgery And Aesthetics
- Organization subpart
- No
- Enumeration date
- Nov 22, 2013
- Certification date
- May 4, 2023
- Last updated
- May 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- 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 |
|---|---|---|---|---|
| 2082S0099X | Plastic Surgery, Plastic Surgery Within the Head and Neck | MD60187241 | WA | Yes |
Practice location
1600 Continental Pl Ste 103Mount Vernon, WA 98273-5607
Phone 360-336-1947
Mailing address
1600 Continental Pl Ste 103Mount Vernon, WA 98273-5607
Phone 360-336-1947
Authorized official
Jonathan Reagan Grant
Owner
4252051305
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