# CASCADE TRAUMA AND ACUTE CARE SURGERY PLLC

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

## Provider details

- **NPI number:** 1215711023
- **Authorized official:** WENDE YOUNGER (CFO)
- **Authorized official phone:** (719) 651-9443

## Contact information

- **Practice address:** 315 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4234
- **Practice address phone:** (253) 403-8327
- **Mailing address:** PO BOX 5215, TACOMA, WA 98415-0215
- **Mailing address phone:** (719) 651-9443
- **Mailing address fax:** (719) 960-2930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0102X | Surgical Critical Care Physician | — | NULL | — |
| 2086S0102X | Surgical Critical Care Physician | — | — | — |
| 2086S0127X | Trauma Surgery Physician | — | NULL | Yes |
| 2086S0127X | Trauma Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/22/2023
- **Last updated:** 08/24/2023