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CASCADE FAMILY MEDICINE P.S. NPI 1063622355


NPI Information

NPI: 1063622355
Provider Name: CASCADE FAMILY MEDICINE, P.S.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 50D0988185

Address:
406 SE 131ST AVE
SUITE 203 B
VANCOUVER, WA
ZIP 98683
Phone: (360) 254-4402
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CASCADE FAMILY MEDICINE, P.S. is a family medicine in Vancouver, WA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CASCADE FAMILY MEDICINE, P.S. NPI is 1063622355. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

406 SE 131ST AVE
SUITE 203 B
VANCOUVER, WA
ZIP 98683-004
Phone: (360) 254-4402
Fax: (360) 892-9241

The provider's authorized official is Lawrence Edward Foltz .
The authorized official title is President and has the following contact phone number (360) 254-4402.

The CLIA number assigned to this NPI record is 50D0988185 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineWASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17051428MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.