Healthcare Provider Details

I. General information

NPI: 1821931171
Provider Name (Legal Business Name): CASCADIA CRUISE CO.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 E 33RD ST APT 3
VANCOUVER WA
98661-5063
US

IV. Provider business mailing address

3201 E 33RD ST APT 3
VANCOUVER WA
98661-5063
US

V. Phone/Fax

Practice location:
  • Phone: 564-241-4712
  • Fax:
Mailing address:
  • Phone: 564-241-4712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code376K00000X
TaxonomyNurse's Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. LAUREN CLAIRE FORSYTHE
Title or Position: OWNER
Credential: CNA
Phone: 564-241-4712