# CASCADE FAMILY PRACTICE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cascade Family Practice LLC, Cascade Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518609973
- **Authorized official:** CARL MICHAEL ERICKSON DO (OWNER)
- **Authorized official phone:** (503) 233-5273

## Contact information

- **Practice address:** 6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
- **Practice address phone:** (503) 233-5273
- **Practice address fax:** (855) 492-8902
- **Mailing address:** 6542 SE LAKE RD STE 202, MILWAUKIE, OR 97222-2245
- **Mailing address phone:** (503) 233-5273
- **Mailing address fax:** (855) 492-8902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2022
- **Last updated:** 05/11/2022