CASCADE PHYSICIANS, P.C. (NPI# 1639210610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639210610 |
| Entity Type | Organization |
| Organization Name | CASCADE PHYSICIANS, P.C. |
| Practice Address |
19250 Sw 65th Ave 110 Tualatin OR 97062-7452 |
| Mailing Address |
2222 Nw Lovejoy St Ste 505 Portland OR 97210-5103 |
| Practice Telephone | 5036921205 |
| Mailing Telephone | 5032429850 |
| Mailing Fax Number | 5032263539 |
| Enumeration Date | 2007-02-10 |
| Last Update Date | 2020-04-20 |
| Authorized Official Name | KENNY HEINO (DIRECTORS OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332900000X | Non-Pharmacy Dispensing Site | MD13393 | OR | Suppliers |
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578604591 | Cascade Physicians, P.C. | Non-Pharmacy Dispensing Site | 2222 Nw Lovejoy St, 505, Portland, OR 97210-3033 | 2007-02-11 |
| 1982672184 | Cascade Physicians, P.C. | Internal Medicine | 2222 Nw Lovejoy St, Ste 505, Portland, OR 97210-5103 | 2006-03-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | CASCADE PHYSICIANS, P.C. | 2222 Nw Lovejoy St, Suite 505, Portland, OR 97210 |
| Washington State Corporations | CASCADE PHYSICIANS, PLLC | 2124 Nw Klickitat St, Camas, WA 98607 |
| Street Address |
19250 SW 65TH AVE 110 |
| City | TUALATIN |
| State | OR |
| Zip Code | 97062-7452 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932100526 | Meridian Family Care, LLC | Family Medicine | 19250 Sw 65th Ave, Ste 265, Tualatin, OR 97062-7452 | 2005-08-03 |
| 1285168872 | Radiation Oncology Specialists PC | Clinic/Center | 19250 Sw 65th Ave, Suite 220, Tualatin, OR 97062-7452 | 2017-04-20 |
| 1750834545 | Jane Elizabeth Adkins Nath | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2016-07-27 |
| 1356717359 | Dana Jones Ulrich | Nurse Practitioner | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-08-13 |
| 1952791501 | Lauren Metzger | Social Worker | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2015-02-03 |
| 1346682390 | Dorothy Nell Knapp | Psychologist | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-07-18 |
| 1841639887 | Marisa Rose Bryman | Advanced Practice Midwife | 19250 Sw 65th Ave, Suite 300, Tualatin, OR 97062-7452 | 2013-06-24 |
| 1548555451 | Brenda C. Brewer | Nurse Practitioner | 19250 Sw 65th Ave, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1346536299 | Adam N Glaser | Internal Medicine | 19250 Sw 65th Ave, Suite 110, Tualatin, OR 97062-7452 | 2011-06-20 |
| 1689967994 | Marceea Genea Hanlin | Physical Therapist | 19250 Sw 65th Ave, Medical Plaza #1, Suite 125, Tualatin, OR 97062-7452 | 2011-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467018739 | Activeedge Tualatin, LLP | Physical Therapist | 19150 Sw 90th Avenue, Suite 200, West Linn, OR 97062 | 2019-05-13 |
| 1932607934 | Naturalways Pediatrics | Clinic/Center | 18813 Sw Martiazzi Ave, Tualatin, OR 97062 | 2018-01-25 |
| 1831646280 | Elizabeth Erin Tafesse | Behavioral Analyst | 18765 Sw Boones Ferry Rd Suite 100, Tualatin, OR 97062 | 2016-09-01 |
| 1962851311 | Ana Mercedes Cerritos-sanchez | Community Health Worker | 19355 Sw 65th Ave Apt A5, Tualatin, OR 97062 | 2016-06-07 |
| 1952759318 | William Luke Summers | Counselor | 18840 Southwest Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2016-05-26 |
| 1730536913 | Krystle Alligood | Behavioral Analyst | 18768 Sw Boones Ferry Road, Tualatin, OR 97062 | 2016-05-18 |
| 1760869739 | Oregon City Medical Nw, Inc | Clinic/Center | 6464 Sw Borland Road #d-4, Tualatin, OR 97062 | 2015-04-29 |
| 1396148904 | Tracy Filley | Clinical Nurse Specialist | 18840 Sw Boones Ferry Rd, Suite 208, Tualatin, OR 97062 | 2014-09-28 |
| 1043646474 | Michelle Lords | Registered Nurse | 7668 Sw Mohawk Street, Tualatin, OR 97062 | 2013-09-17 |
| 1871930750 | Sharon Ruth Frank | Social Worker | 7668 Sw Mohawk St., Aps Healthcare, Tualatin, OR 97062 | 2013-05-31 |
| Find all providers in zip 97062 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437382603 | Injury Specialists of Oregon PC | Internal Medicine | 19300 Sw Boones Ferry Rd Ste 1b, Tualatin, OR 97062-9065 | 2009-09-03 |
| 1225113731 | Seldon Keith Saks | Internal Medicine | 19300 Sw Boones Ferry Rd Ste 5, Tualatin, OR 97062-9086 | 2006-10-25 |
| 1275626137 | Richard P Miller | Internal Medicine | 6455 Sw Nyberg Ln, A109, Tualatin, OR 97062-9704 | 2006-10-02 |
| 1437127347 | Elizabeth Reyes Sammond | Internal Medicine | 19875 Sw 65th Ave Ste 100, Tualatin, OR 97062-8353 | 2006-03-08 |
| 1033100714 | Benito G Pataroque | Internal Medicine | 6485 Sw Borland Rd, Suite D, Tualatin, OR 97062-9762 | 2005-11-02 |
| 1639160369 | Tana Marie Haynes | Internal Medicine | 19260 Sw 65th Ave Ste 270, Suite B2, Tualatin, OR 97062-5705 | 2005-11-02 |
| 1053832162 | Tualatin Internal Medicine | Internal Medicine | 6485 Sw Borland Rd Ste B, Tualatin, OR 97062-9762 | 2017-06-28 |
| 1568826386 | Kathryn Renee Foutch | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062-7706 | 2016-04-07 |
| 1750775698 | Jessica Lorenz | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2015-03-27 |
| 1528487956 | Raelin Fullmer I | Internal Medicine | 19300 Sw 65th Ave, Tualatin, OR 97062 | 2014-04-14 |
| Find all providers in TUALATIN | ||||
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| 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.