Healthcare Provider Details
I. General information
NPI: 1033868633
Provider Name (Legal Business Name): CARING FOR THE CASCADES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/21/2022
Last Update Date: 10/10/2023
Certification Date: 10/10/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2659 SW 4TH ST STE 112
REDMOND OR
97756-6406
US
IV. Provider business mailing address
2659 SW 4TH ST STE 102
REDMOND OR
97756-6406
US
V. Phone/Fax
- Phone: 541-317-2273
- Fax:
- Phone: 541-238-7500
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 253Z00000X |
| Taxonomy | In Home Supportive Care Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADRIAN
SIEGMANN
Title or Position: CEO
Credential:
Phone: 541-238-7500