Healthcare Provider Details

I. General information

NPI: 1811240369
Provider Name (Legal Business Name): CAUZI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2012
Last Update Date: 10/22/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 N HAYDEN ISLAND DR UNIT 59
PORTLAND OR
97217-8273
US

IV. Provider business mailing address

1503 N HAYDEN ISLAND DR UNIT 59
PORTLAND OR
97217-8273
US

V. Phone/Fax

Practice location:
  • Phone: 503-354-4884
  • Fax:
Mailing address:
  • Phone: 503-354-4884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: BRENDA STRENG YOUNG
Title or Position: OWNER/ HEALTH EDUCATOR
Credential:
Phone: 503-354-4884