# CASCADE MEDICAL GROUP PS INC

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

## Provider details

- **NPI number:** 1588631287
- **Authorized official:** GARY L BROWN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (360) 336-2178

## Contact information

- **Practice address:** 111 S 13TH ST, MOUNT VERNON, WA 98274-4105
- **Practice address phone:** (360) 336-2178
- **Mailing address:** 111 S 13TH ST, MOUNT VERNON, WA 98274-4105
- **Mailing address phone:** (360) 336-2178

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |
| 207YS0123X | Facial Plastic Surgery Physician | — | NULL | — |
| 207YS0123X | Facial Plastic Surgery Physician | — | — | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | NULL | — |
| 207YX0602X | Otolaryngic Allergy Physician | — | — | — |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | NULL | — |
| 2082S0099X | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | — | — | — |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 2086X0206X | Surgical Oncology Physician | — | NULL | — |
| 2086X0206X | Surgical Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 10/04/2007