# CASCADE COMMUNITY HEALTHCARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CASCADE COMMUNITY HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568152486
- **Legal business name:** CASCADE COMMUNITY HEALTHCARE
- **Authorized official:** PAMELA TRUMBLE (CREDENTIALING)
- **Authorized official phone:** (360) 330-9044

## Contact information

- **Practice address:** 2428 W REYNOLDS AVE, CENTRALIA, WA 98531
- **Practice address phone:** (360) 330-9044
- **Mailing address:** 2428 W REYNOLDS AVE, CENTRALIA, WA 98531
- **Mailing address phone:** (360) 330-9044

## Taxonomy

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

## Other

- **Enumeration date:** 05/12/2023
- **Last updated:** 04/28/2025
