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CASCADE MEDICAL GROUP LLC NPI 1083706436


NPI Information

NPI: 1083706436
Provider Name: CASCADE MEDICAL GROUP, LLC

Former Legal Business Name: CASCADE PROFESSIONAL BUSINESS SERVICES, LLC

Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
1253 N CANAL BLVD.
REDMOND, OR
ZIP 97756
Phone: (541) 516-3866
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CASCADE MEDICAL GROUP, LLC is a critical care medicine internal medicine in Redmond, OR. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. CASCADE MEDICAL GROUP, LLC NPI is 1083706436. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Cascade Professional Business Services, Llc.

The provider's business location address is:

1253 N CANAL BLVD.
REDMOND, OR
ZIP 97756-400
Phone: (541) 516-3866
Fax: (541) 516-3877

The provider's authorized official is Karen M Shepard .
The authorized official title is Chief Financial Officer and has the following contact phone number (541) 706-3708.

The enumeration date for this NPI number is 9/29/2006 and was last updated on 8/12/2010.


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
1207RP1001XInternal MedicinePulmonary DiseaseNo
2207RC0200XInternal MedicineCritical Care MedicineYes

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
1R136777MEDICARE UPINOREGON
2274089MEDICAIDOREGON
3R136777MEDICARE PINOREGON

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

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