National Provider Identifier Database

CASCADE ADAPTIVE SPORTS
Voluntary or Charitable


Contact Information

CASCADE ADAPTIVE SPORTS
3215 ALLEN LN
PESHASTIN, WA98847-9426
Phone: 509-668-0211
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for CASCADE ADAPTIVE SPORTS

NPI Number 1801191572
Legal business name
LBN
CASCADE ADAPTIVE SPORTS
Authorized official GERALD OLIVAS - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 01/11/2011
Last updated 01/11/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WA License #: 603046721

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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