Organization
CASCADE CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN CAROL WIGSTROM (CREDENTIALING AND CONTRACTING SPECI)
(503) 485-4787
Entity
Organization
Contact information
Practice address
777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 97301-3421
(503) 485-4787
(503) 485-4789
Mailing address
777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 97301-3421
(503) 485-4787
(503) 485-4789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276218
—
OR
01
—
82569100
BLUE CROSS
OR
01
—
DB8768
RAILROAD MEDICARE
OR
Enumeration date
05/16/2006
Last updated
10/14/2022
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