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Contact Information

CASCADE FAMILY PRACTICE
7215 SE MILWAUKIE AVE
PORTLAND, OR97202-6103
 Phone: 503-233-5273
 Fax: 503-236-2796
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine, Sports Medicine

204C00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for CASCADE FAMILY PRACTICE · (Female)

NPI # 1881990570
Status Active
Credentials
Entity Individual
Enumeration date 01/28/2011
Last updated 01/28/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # DO12690
  • OR Medicaid 226639
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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