Cascade Physicians, P.C.
Internal Medicine in Tualatin, OR. Organization (NPI-2).
NPI number1639210610
StatusActive
Last updated in NPPESJan 26, 2023
Details
- NPI
- 1639210610
- Entity type
- Organization (NPI-2)
- Legal business name
- Cascade Physicians, P.C.
- Organization subpart
- Yes
- Enumeration date
- Feb 10, 2007
- Certification date
- Jan 26, 2023
- Last updated
- Jan 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
| 332900000X | Non-Pharmacy Dispensing Site | MD13393 | OR |
Practice location
19250 Sw 65th Ave110
Tualatin, OR 97062-7452
Phone 503-692-1205
Mailing address
Po Box 86309Portland, OR 97286-0309
Phone 503-242-9850 · Fax 503-226-3539
Authorized official
Kenny Heino
Directors Of Operations
8586252990
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