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Organization
CASCADE ORTHOPEDICS & SPORTS MEDICINE CENTER, PC
Active
Organization
CASCADE ORTHOPEDICS & SPORTS MEDICINE CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGROY M STANLEY M.D. (CORPORATE OFFICER)
(541) 296-2294
Entity
Organization
Contact information
Practice address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(541) 296-2294
(541) 298-4123
Mailing address
1715 E 12TH ST, THE DALLES, OR 97058-3136
(541) 296-2294
(541) 298-4123
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180273
—
OR
05
—
7939200
—
WA
Enumeration date
11/28/2006
Last updated
03/19/2015
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