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Organization
CASCASDE OCCUPATIONAL MEDICINE PHYSICIANS INC
Active
Organization
CASCASDE OCCUPATIONAL MEDICINE PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN ROGERS BRADDOCK M.D. (CEO MEDICAL DIRECTOR)
(503) 635-1960
Entity
Organization
Contact information
Practice address
4000 KRUSE WAY PL, BUILDING 2, SUITE 160, LAKE OSWEGO, OR 97035-5545
(503) 635-1960
(503) 635-8354
Mailing address
PO BOX 1548, LAKE OSWEGO, OR 97035-0748
(503) 635-1960
(503) 635-8354
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
NULL
261QX0100X
Occupational Medicine Clinic/Center
—
NULL
Other
Enumeration date
03/07/2007
Last updated
09/11/2025
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