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Contact Information

CASCADE INTERNAL MEDICINE PS
1901 SO UNION
ALLENMORE MEDICAL CENTER STE A305
TACOMA, WA98405
 Phone: 253-272-3031
 Fax: 253-272-9449
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for CASCADE INTERNAL MEDICINE PS

NPI Number 1700853983
LBN Legal business name CASCADE INTERNAL MEDICINE PS
Authorized official JOHN WANWIG - (PHYSICIAN PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
WA License # 12582
WA Medicaid 1047786
Other 8914379 CRIME VICTIMS
Other 1300029 MEDICAID MEDICAL
Other WA7229 REGENCE
WA Other 21793 LABOR & INDUSTRIES
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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