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Organization
CASCADE REGENERATIVE MEDICINE
Active
Organization
CASCADE REGENERATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL OLTMAN ND, RMSK (OWNER/PHYSICIAN)
(503) 914-8455
Entity
Organization
Contact information
Practice address
6420 S MACADAM AVE STE 208, PORTLAND, OR 97239-3518
(503) 841-5292
Mailing address
6420 S MACADAM AVE STE 208, PORTLAND, OR 97239-3518
(503) 841-5292
Taxonomy
Speciality
Code
Description
License number
State
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
Primary
—
—
Other
Enumeration date
04/12/2023
Last updated
04/12/2023
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