Organization
CASCADE SURGICAL PHYSICIAN ASSISTANTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN GRANVALL PA-C (MANAGER)
(360) 699-8754
Entity
Organization
Contact information
Practice address
4114 MAPLE ST, VANCOUVER, WA 98660-1647
(360) 699-8754
(360) 750-6262
Mailing address
4114 MAPLE ST, VANCOUVER, WA 98660-1647
(360) 699-8754
(360) 750-6262
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/09/2006
Last updated
08/22/2020
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