CASCADE NEUROMONITORING SERVICE ASSOCIATE, LLC (NPI# 1447732383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447732383 |
| Entity Type | Organization |
| Organization Name | CASCADE NEUROMONITORING SERVICE ASSOCIATE, LLC |
| Practice Address |
818 Sw 3rd Ave #240 Portland OR 97204-2405 |
| Practice Telephone | 5034044034 |
| Mailing Telephone | 5034044034 |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |
| Authorized Official Name | LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER) |
| Authorized Official Telephone | 2105982801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 204R00000X | Electrodiagnostic Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 2084N0600X |
Psychiatry & Neurology Specialization: Clinical Neurophysiology |
Allopathic & Osteopathic Physicians |
| Street Address |
818 SW 3RD AVE #240 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97204-2405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922662352 | Sleep Management, L.L.C. | Respiratory Therapist, Registered | 1050 Sw 6th Avenue, Suite 1100 Office # 52, Portland, OR 97204 | 2019-05-01 |
| 1588178701 | Daniel Hendrickson | Pharmacist | 503 Sw 5th Avenue, Portland, OR 97204 | 2017-11-27 |
| 1790133031 | Modupe Desiree Bansile | Counselor | 209 Sw Fourth Ave, Suite 520, Portland, OR 97204 | 2016-05-26 |
| 1841655834 | Isabella Zaragoza | Counselor | 421 Sw Oak St Suite 520, Portland, OR 97204 | 2015-12-18 |
| 1952737736 | Hessler-cohen Enterprises LLC | Acupuncturist | 310 Sw 4rth Avenue, Suite 725, Portland, OR 97204 | 2013-09-24 |
| 1144583378 | Angela Nicole Johnson | Physical Therapist | 555 Sw Oak Street, Portland, OR 97204 | 2012-06-22 |
| 1255614624 | Jaclyn Rene Jones | Nurse Practitioner | 601 Sw 4th Ave, Portland, OR 97204 | 2011-09-22 |
| 1407148398 | Cristianne Paulsen | Dental Hygienist | 426 Sw Stark, 9th Floor, Portland, OR 97204 | 2011-05-10 |
| 1396928255 | Jessica L Hall | Counselor | 421 Sw Oak Street, Suite 520, Portland, OR 97204 | 2007-12-13 |
| 1699896274 | Julie Anne Oyemaja | Counselor | 421 Sw Oak St., Ste. 210, Portland, OR 97204 | 2007-04-02 |
| Find all providers in zip 97204 | ||||
| Taxonomy Code | 2084N0600X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Clinical Neurophysiology |
| Clinical Neurophysiology is a subspecialty with psychiatric or neurologic expertise in the diagnosis and management of central, peripheral, and autonomic nervous system disorders using combined clinical evaluation and electrophysiologic testing such as electroencephalography (EEG), electromyography (EMG), and nerve conduction studies (NCS). |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255680054 | Nw Neurophysiology Consultants | Psychiatry & Neurology | 7734 N Fowler Ave, Portland, OR 97217-5931 | 2012-09-07 |
| 1578619169 | Carter Wray | Psychiatry & Neurology | 707 Sw Gaines St, Mail Code Cdrc-p, Portland, OR 97239-2901 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487759890 | Mark T Gabr | Psychiatry & Neurology | 180 Ramsgate Sq S, Suite# 150, Salem, OR 97302-5864 | 2006-09-13 |
| 1013932425 | Lee W Porter | Psychiatry & Neurology | 1029 River Rd, Oregon Integrated Health, Eugene, OR 97404-3242 | 2006-07-13 |
| 1831148592 | Mark D Reploeg | Psychiatry & Neurology | 3680 Nw Samaritan Dr, Corvallis, OR 97330-3737 | 2006-05-09 |
Please comment or provide details below to improve the information on CASCADE NEUROMONITORING SERVICE ASSOCIATE, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.