Organization
CASCADE MEDICAL CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YVETTE GAYNOR NP (NURSE PRACTITIONER)
(541) 923-3970
Entity
Organization
Contact information
Practice address
2408 NE DIVISION ST, BEND, OR 97703-3543
(541) 382-7521
(541) 382-6297
Mailing address
1228 NW CANAL BLVD, REDMOND, OR 97756-1335
(541) 923-3970
(541) 699-4336
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200550094NP
OR
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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