Organization
CASCADE NEUROLOGIC CLINIC, INC, P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S. ELLIOTT (OFFICE MANAGER)
(360) 424-8952
Entity
Organization
Contact information
Practice address
1315 EAST DIVISION ST., MT. VERNON, WA 98274
(360) 424-8951
(360) 424-8953
Mailing address
1315 EAST DIVISION ST., MT. VERNON, WA 98274
(360) 424-8951
(360) 424-8953
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
600182628
WA
261QM2500X
Medical Specialty Clinic/Center
600182628
WA
Other
Enumeration date
05/04/2007
Last updated
09/04/2008
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