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Contact Information

CASCADE DERMATOLOGY AND AESTHETICS
4765 VILLAGE PLAZA LOOP
SUITE 100
EUGENE, OR97401
 Phone: 541-485-7546
 Fax: 541-345-5254
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for CASCADE DERMATOLOGY AND AESTHETICS

NPI # 1730243379
LBN Legal business name CASCADE DERMATOLOGY AND AESTHETICS
Authorized official DENA PULLAR - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2006
Last updated 06/12/2023 - About 3 years ago
Identifiers
OR License # OR12879
OR Other 1063511087 NPI-AMANDA CHRISTENSEN PA
OR Other 1316911274 NPI-GREGORY C RICHTERICH
OR Other 1912972175 NPI-KRIS MILLER, PA-C
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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