Organization
CASCADE PROSTHETICS AND ORTHOTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R WEYMER (CEO)
(360) 384-1858
Entity
Organization
Contact information
Practice address
1360 SUNSET AVE, FERNDALE, WA 98248-8913
(360) 384-1858
(360) 384-1927
Mailing address
1360 SUNSET AVE, FERNDALE, WA 98248-8913
(360) 384-1858
(360) 384-1927
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
600446461
WA
335E00000X
Prosthetic/Orthotic Supplier
Primary
600446461
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003256500
—
ID
05
—
00440415
—
MS
05
—
00630201
—
HI
05
—
0510029
—
MT
01
—
0701450
HSCSN
DC
05
—
090765100
—
MN
05
—
0986836
—
IA
05
—
100027950A
—
IN
05
—
1002111404
—
KS
05
—
1934071
—
LA
01
—
527806
AHCCCS
AZ
01
—
6738087
BSHCN 1ST STEPS
MO
05
—
844600800
—
MA
05
—
90032681
—
KY
05
—
98001894
—
CO
01
—
CAJ52110
CSHCN
IN
05
—
PO576WA
—
AK
Enumeration date
01/06/2006
Last updated
05/20/2008
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