Organization
CASCADE PA ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STAYSIE BALTAZAR (PAMS NPI ADMINISTRATOR)
(210) 598-2800
Entity
Organization
Contact information
Practice address
333 S STATE ST STE V # 316, LAKE OSWEGO, OR 97034-3988
(503) 404-4035
Mailing address
333 S STATE ST STE V # 316, LAKE OSWEGO, OR 97034-3988
(503) 404-4035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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