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Organization
CASCADE WEST MEDICAL PRACTICE LLC
Active
Organization
CASCADE WEST MEDICAL PRACTICE LLC
Active
Other names
Cascade West Primary Care Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL L JOHNSON (OFFICE MANAGER)
(541) 450-8345
Entity
Organization
Contact information
Practice address
201 NE SAVAGE ST, GRANTS PASS, OR 97526-1309
(541) 787-4360
(360) 216-7677
Mailing address
PO BOX 738, MERLIN, OR 97532-0738
(541) 787-4360
(360) 216-7677
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
200850056NP
OR
Other
Enumeration date
04/01/2011
Last updated
04/01/2011
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