Organization
CASCADE OCCUPATIONAL MEDICINE PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R BRADDOCK MD (CEO MEDICAL DIRECTOR)
(503) 635-1960
Entity
Organization
Contact information
Practice address
6464 SW BORLAND RD, SUITE B5, TUALATIN, OR 97062-8876
(503) 885-8793
(503) 885-0787
Mailing address
PO BOX 1548, LAKE OSWEGO, OR 97035-0748
(503) 594-1118
(503) 635-8354
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0141626
DEPT OF LABOR AND INDUSTR
WA
Enumeration date
12/16/2005
Last updated
09/11/2025
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