Organization
CASCADE CLINIC WALK IN AND PRIMARY CARE LLC
Active
Other names
Cascade Clinic, Cascade Clinic Work Injury and Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY BRADFORD ARNP (OWNER)
(360) 770-4690
Entity
Organization
Contact information
Practice address
1420 ROOSEVELT AVE STE 4, MOUNT VERNON, WA 98273-2687
(360) 899-4086
(360) 899-4124
Mailing address
1420 ROOSEVELT AVE STE 4, MOUNT VERNON, WA 98273-2687
(608) 994-0863
(360) 899-4124
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
321303
LABOR AND INDUSTRIES
WA
Enumeration date
07/13/2012
Last updated
05/07/2020
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