# CASCADE OCCUPATIONAL MEDICINE PHYSICIANS INC

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

## Provider details

- **NPI number:** 1356327803
- **Authorized official:** DR. JOHN R BRADDOCK MD (CEO MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 635-1960

## Contact information

- **Practice address:** 6464 SW BORLAND RD, SUITE B5, TUALATIN, OR 97062-8876
- **Practice address phone:** (503) 885-8793
- **Practice address fax:** (503) 885-0787
- **Mailing address:** PO BOX 1548, LAKE OSWEGO, OR 97035-0748
- **Mailing address phone:** (503) 594-1118
- **Mailing address fax:** (503) 635-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 09/11/2025