# CASCADE CARDIOLOGY LLC

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

## Provider details

- **NPI number:** 1447202668
- **Authorized official:** HELEN CAROL WIGSTROM (CREDENTIALING AND CONTRACTING SPECI)
- **Authorized official phone:** (503) 485-4787

## Contact information

- **Practice address:** 777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 97301-3421
- **Practice address phone:** (503) 485-4787
- **Practice address fax:** (503) 485-4789
- **Mailing address:** 777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 97301-3421
- **Mailing address phone:** (503) 485-4787
- **Mailing address fax:** (503) 485-4789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 10/14/2022