Organization
CASCADE EYE & SKIN CENTERS PC
Active
Other names
Cascade Laser & Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE JELMBERG-BRAYTON (BUSINESS OPERATIONS MANAGER)
(253) 446-3904
Entity
Organization
Contact information
Practice address
1703 S MERIDIAN STE 201, PUYALLUP, WA 98371-7590
(253) 848-3000
Mailing address
1703 S MERIDIAN, SUITE 101, PUYALLUP, WA 98371-7590
(253) 770-7708
(253) 770-7630
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
601325507
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111019
WA. STATE LABOR & INDUSTR
WA
05
—
7079189
—
WA
Enumeration date
02/12/2007
Last updated
03/11/2024
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