Organization
CASCADE VASCULAR ASSOCIATES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESE F LEWIS (BUSINESS OFFICE MANAGER)
(253) 627-4650
Entity
Organization
Contact information
Practice address
1802 S YAKIMA AVE, STE 204A, TACOMA, WA 98405
(253) 383-3325
(253) 572-7875
Mailing address
1802 S YAKIMA AVE, STE 204A, TACOMA, WA 98405
(253) 383-3325
(253) 779-0796
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7043979
—
WA
Enumeration date
03/21/2007
Last updated
08/22/2020
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