# CASCASDE OCCUPATIONAL MEDICINE PHYSICIANS INC

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

## Provider details

- **NPI number:** 1437280120
- **Authorized official:** DR. JOHN ROGERS BRADDOCK M.D. (CEO MEDICAL DIRECTOR)
- **Authorized official phone:** (503) 635-1960

## Contact information

- **Practice address:** 4000 KRUSE WAY PL, BUILDING 2, SUITE 160, LAKE OSWEGO, OR 97035-5545
- **Practice address phone:** (503) 635-1960
- **Practice address fax:** (503) 635-8354
- **Mailing address:** PO BOX 1548, LAKE OSWEGO, OR 97035-0748
- **Mailing address phone:** (503) 635-1960
- **Mailing address fax:** (503) 635-8354

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | Yes |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/07/2007
- **Last updated:** 09/11/2025