CPM MEDICINE LLC NPI 1194399899

NPI Information

NPI: 1194399899
Provider Name: CPM MEDICINE LLC

Doing Business As: CASCADE PSYCHEDELIC MEDICINE

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2027 NE FLANDERS ST
PORTLAND, OR
ZIP 97232
Phone: (503) 453-2941
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CPM MEDICINE LLC is a general practice in Portland, OR. CPM MEDICINE LLC NPI is 1194399899. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Cascade Psychedelic Medicine.

The provider's business location address is:

2027 NE FLANDERS ST
PORTLAND, OR
ZIP 97232-372
Phone: (503) 453-2941

The provider's authorized official is Seth Mehr .
The authorized official title is Owner and has the following contact phone number (503) 453-2941.

The enumeration date for this NPI number is 5/17/2021 and was last updated on 9/16/2021.

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
1	208D00000X	General Practice				Yes

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: 11/14/2023

NPI Synchronization or Removal

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