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Organization

CASCADE CARDIOLOGY LLC

Active
Parent organization
CASCADE CARDIOLOGY LLC
Other names
Cascade Cardiology Willamette Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
CASCADE CARDIOLOGY LLC
Authorized official
HELEN C WIGSTROM (CREDENTIALING SPECIALIST)
(503) 485-4787
Entity
Organization

Contact information

Practice address
777 COMMERCIAL ST SE, SALEM, OR 97301-0060
(503) 485-4787
(503) 485-4789
Mailing address
777 COMMERCIAL ST SE, SUITE 130, SALEM, OR 97301-3421
(503) 485-4787

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician

Other

Enumeration date
10/18/2011
Last updated
11/07/2011
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