Organization
CASCADE FACIAL SURGERY AND AESTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN REAGAN GRANT M.D. (OWNER)
(425) 205-1305
Entity
Organization
Contact information
Practice address
1600 CONTINENTAL PL STE 103, MOUNT VERNON, WA 98273-5607
(360) 336-1947
Mailing address
1600 CONTINENTAL PL STE 103, MOUNT VERNON, WA 98273-5607
(360) 336-1947
Taxonomy
Speciality
Code
Description
License number
State
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
Primary
MD60187241
WA
Other
Enumeration date
11/22/2013
Last updated
05/04/2023
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