# CASCADE SURGICAL PHYSICIAN ASSISTANTS, PLLC

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

## Provider details

- **NPI number:** 1811960990
- **Authorized official:** BRIAN GRANVALL PA-C (MANAGER)
- **Authorized official phone:** (360) 699-8754

## Contact information

- **Practice address:** 4114 MAPLE ST, VANCOUVER, WA 98660-1647
- **Practice address phone:** (360) 699-8754
- **Practice address fax:** (360) 750-6262
- **Mailing address:** 4114 MAPLE ST, VANCOUVER, WA 98660-1647
- **Mailing address phone:** (360) 699-8754
- **Mailing address fax:** (360) 750-6262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | Yes |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2006
- **Last updated:** 08/22/2020