Organization
CASCADE INFECTIOUS DISEASES AND INFUSION LLC
Active
Other names
Cascade ID and Infusion LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C GIROD M.D. (OWNER)
(503) 540-9999
Entity
Organization
Contact information
Practice address
2720 COMMERCIAL ST SE, SUITE 201, SALEM, OR 97302-4586
(503) 540-9999
(503) 540-3105
Mailing address
2720 COMMERCIAL ST SE, SUITE 201, SALEM, OR 97302-4586
(503) 540-9999
(503) 540-3105
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
Primary
MD12930
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R152483
MEDICARE PTAN
OR
Enumeration date
09/28/2009
Last updated
11/07/2012
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