# CASCADE FACIAL SURGERY AND AESTHETICS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124458583
- **Authorized official:** JONATHAN REAGAN GRANT M.D. (OWNER)
- **Authorized official phone:** (425) 205-1305

## Contact information

- **Practice address:** 1600 CONTINENTAL PL STE 103, MOUNT VERNON, WA 98273-5607
- **Practice address phone:** (360) 336-1947
- **Mailing address:** 1600 CONTINENTAL PL STE 103, MOUNT VERNON, WA 98273-5607
- **Mailing address phone:** (360) 336-1947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | MD60187241 | WA | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 05/04/2023