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CASCADE MEDICAL CARELLC NPI 1700318755


NPI Information

NPI: 1700318755
Provider Name: CASCADE MEDICAL CARE,LLC
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Organization

CLIA Number: 38D1076442

Address:
2408 NE DIVISION ST
BEND, OR
ZIP 97703
Phone: (541) 382-7521
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CASCADE MEDICAL CARE,LLC is a licensed practical nurse in Bend, OR. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. CASCADE MEDICAL CARE,LLC NPI is 1700318755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2408 NE DIVISION ST
BEND, OR
ZIP 97703-543
Phone: (541) 382-7521
Fax: (541) 382-6297

The provider's authorized official is Yvette Gaynor .
The authorized official title is Nurse Practitioner and has the following contact phone number (541) 923-3970.

The CLIA number assigned to this NPI record is 38D1076442 - other - outpatient imaging facili with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/29/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical Nurse200550094NPOREGONYes

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: 4/28/2024

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.