Organization
CASCADE PSYCHIATRIC SERVICES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WOLFGANG W KLAMP PH.D., MBA (CHIEF OPERATING OFFICER)
(425) 259-6665
Entity
Organization
Contact information
Practice address
3802 BROADWAY STE B, EVERETT, WA 98201-5032
(425) 259-6665
(425) 259-6014
Mailing address
3802 BROADWAY STE B, EVERETT, WA 98201-5032
(425) 259-6665
(425) 259-6014
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
AP30007181
WA
103T00000X
Psychologist
AP30007788
WA
103T00000X
Psychologist
MD00009424
WA
103T00000X
Psychologist
MD00023385
WA
103T00000X
Psychologist
MD00035512
WA
103T00000X
Psychologist
MD00045550
WA
174400000X
Specialist
Primary
—
—
2084P0800X
Psychiatry Physician
MD00042238
WA
2084P0805X
Geriatric Psychiatry Physician
MD00037882
WA
363A00000X
Physician Assistant
PA10003235
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP30007333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013009273
CMS
WA
01
—
1073575601
CMS
WA
01
—
1114077138
CMS
OR
01
—
1134178882
CMS
WA
01
—
1144276759
CMS
WA
01
—
1275724627
CMS
WA
01
—
1417920810
CMS
WA
01
—
1477713113
CMS
WA
01
—
1902097355
CMS
WA
01
—
1972632560
CMS
WA
Enumeration date
11/13/2008
Last updated
11/13/2008
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