Organization
CASCADE SURGICAL PARTNERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMY L LLOYD (ACCOUNTS MANAGER)
(509) 575-3946
Entity
Organization
Contact information
Practice address
3003 TIETON DR, SUITE 300, YAKIMA, WA 98902-3679
(509) 575-3946
(509) 225-6449
Mailing address
3003 TIETON DR, SUITE 300, YAKIMA, WA 98902-3679
(509) 575-3946
(509) 225-6449
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00021997
WA
208600000X
Surgery Physician
MD00034873
WA
208600000X
Surgery Physician
Primary
MD00044226
WA
208600000X
Surgery Physician
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326107
—
WA
05
—
8207797
—
WA
05
—
8264889
—
WA
05
—
8415531
—
WA
Enumeration date
05/30/2007
Last updated
08/22/2020
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