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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

NPI # 1881990570
LBN Legal business name CASCADE FAMILY PRACTICE
Authorized official CARL ERICKSON - (FAMILY PRACTICE)
Entity Organization
Organization subpart 1 No
Enumeration date 01/28/2011
Last updated 01/28/2011 - About 15 years ago
Identifiers
OR License # DO12690
OR Medicaid 226639
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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