Provider Type Icon

CASCADE FAMILY PRACTICE NPI 1881990570


NPI Information

NPI: 1881990570
Provider Name: CASCADE FAMILY PRACTICE

Other Name: CARL M ERICKSON, D.O.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 38D1040441

Address:
7215 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 233-5273
Get Directions

CASCADE FAMILY PRACTICE is a family medicine in Portland, OR. 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 PRACTICE NPI is 1881990570. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Carl M Erickson, D.o..

The provider's business location address is:

7215 SE MILWAUKIE AVE
PORTLAND, OR
ZIP 97202-103
Phone: (503) 233-5273
Fax: (503) 236-2796

The provider's authorized official is Carl M Erickson .
The authorized official title is Family Practice and has the following contact phone number (503) 233-5273.

The CLIA number assigned to this NPI record is 38D1040441 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/28/2011 and was last updated on 1/28/2011.


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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineDO12690OREGONNo
2207Q00000XFamily MedicineDO12690OREGONYes

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
10000BHPDXRMEDICARE OSCAR/CERTIFICATIONOREGON
2226639MEDICAIDOREGON
30000BHPDXRMEDICARE PINOREGON
4D38480MEDICARE UPINOREGON

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.