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Contact Information

CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC
9260 SE STARK ST
SUITE B
PORTLAND, OR97216-1640
 Phone: 503-255-1500
 Fax: 503-255-1560
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC

NPI Number 1356348106
LBN Legal business name CASCADE 205 ORTHOPEDIC AND SPORTS PHYSICAL THERAPY, PC
Authorized official JULIE MCALLISTER - (OWNER/DIRECTOR/THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/07/2005
Last updated 10/02/2008 - About 18 years ago
Identifiers
OR License # 2319
OR Medicaid 297214
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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