# PUBLIC HOSPITAL DIST NO 1 SKAGIT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Valley Hospital Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265791065
- **Authorized official:** PAUL ISHIZUKA (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (360) 814-5838

## Contact information

- **Practice address:** 330 S STILLAGUAMISH AVE, ARLINGTON, WA 98223-1642
- **Practice address phone:** (360) 435-2133
- **Practice address fax:** (360) 435-0513
- **Mailing address:** 1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
- **Mailing address phone:** (360) 428-2500
- **Mailing address fax:** (360) 428-6485

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 00000106 | WA | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 00000106 | WA | — |
| 207R00000X | Internal Medicine Physician | 00000106 | WA | — |
| 208M00000X | Hospitalist Physician | HAC.FS.00000106 | WA | — |
| 367500000X | Certified Registered Nurse Anesthetist | 000000106 | WA | — |

## Other

- **Enumeration date:** 05/14/2012
- **Last updated:** 07/21/2022