Organization
CASCADE LAKES UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CHASE (PRACTICE ADMINISTRATOR)
(541) 615-1665
Entity
Organization
Contact information
Practice address
431 NE REVERE AVE STE 200, BEND, OR 97701-4192
(541) 508-7973
(541) 508-7968
Mailing address
431 NE REVERE AVE STE 200, BEND, OR 97701-4192
(541) 508-7973
(833) 438-5617
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
03/11/2025
Last updated
03/19/2026
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