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CASCADE HEART PS NPI 1619925104


NPI Information

NPI: 1619925104
Provider Name: CASCADE HEART PS

Former Legal Business Name: SOUTHWEST WASHINGTON CARDIOLOGY

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
200 NE MOTHER JOSEPH PL
SUITE 400
VANCOUVER, WA
ZIP 98664
Phone: (360) 256-2640
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CASCADE HEART PS is a cardiovascular disease internal medicine in Vancouver, WA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CASCADE HEART PS NPI is 1619925104. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Southwest Washington Cardiology.

The provider's business location address is:

200 NE MOTHER JOSEPH PL
SUITE 400
VANCOUVER, WA
ZIP 98664-299
Phone: (360) 256-2640

The provider's authorized official is John Warren Reid .
The authorized official title is President and has the following contact phone number (360) 256-2640.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 7/29/2008.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1134482MEDICARE PINOREGON
27188204MEDICAIDWASHINGTON
3G000681300MEDICARE ID-TYPE UNSPECIFIEDWASHINGTONMEDICARE PROVIDER NUMBER

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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