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CASCADE PATHWAYS LLC NPI 1851596001


NPI Information

NPI: 1851596001
Provider Name: CASCADE PATHWAYS, LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
344 NW 6TH ST
CORVALLIS, OR
ZIP 97330
Phone: (541) 954-7077
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CASCADE PATHWAYS, LLC is an addiction (substance use disorder) counselor in Corvallis, OR. CASCADE PATHWAYS, LLC NPI is 1851596001. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

344 NW 6TH ST
CORVALLIS, OR
ZIP 97330-814
Phone: (541) 954-7077
Fax: (888) 505-1903

The provider's authorized official is Hal Clifford Darst .
The authorized official title is Director and has the following contact phone number (541) 954-7077.

The enumeration date for this NPI number is 6/18/2007 and was last updated on 9/29/2015.


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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)99-11-61OREGONYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1500664843MEDICAIDOREGON

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

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