Organization
CASCADE MEDICAL GROUP, LLC
Active
Organization
CASCADE MEDICAL GROUP, LLC
Active
Other names
Cascade Professional Business Services, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN M SHEPARD (CHIEF FINANCIAL OFFICER)
(541) 706-3708
Entity
Organization
Contact information
Practice address
1253 N CANAL BLVD., REDMOND, OR 97756-0400
(541) 516-3866
(541) 516-3877
Mailing address
PO BOX 1420, REDMOND, OR 97756-0400
(541) 516-3866
(541) 516-3877
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274089
—
OR
Enumeration date
09/29/2006
Last updated
08/12/2010
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