CASCADE REGENERATIVE MEDICINE NPI 1396431474

NPI Information

  • NPI: 1396431474
  • Provider Name: CASCADE REGENERATIVE MEDICINE
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Organization
  • Address: 6420 S MACADAM AVE STE 208
    PORTLAND, OR
    ZIP 97239
  • Phone: (503) 841-5292

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NPI Details

CASCADE REGENERATIVE MEDICINE is a neuromusculoskeletal medicine sports medicine in Portland, OR. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ CASCADE REGENERATIVE MEDICINE NPI is 1396431474. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6420 S MACADAM AVE STE 208
PORTLAND, OR
ZIP 97239-518
Phone: (503) 841-5292

The provider's authorized official is Samuel Oltman .
The authorized official title is Owner/physician and has the following contact phone number (503) 914-8455.

The enumeration date for this NPI number is 4/12/2023 and was last updated on 4/12/2023.

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
1204C00000XNeuromusculoskeletal Medicine, Sports MedicineYes

What is NPI?

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This page was last updated on: 11/21/2025

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