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General NPI Number Information
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NPI Number | 1871435701
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Entity Type | Organization
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Legal Business Name | CASCADE CHIROPRACTIC AND DECOMPRESSION LLC
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 203 E MAIN ST
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City | GOLDENDALE
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State | WA
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Zip | 98620-9015
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Country | US
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Telephone | 509-261-4612
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 417
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City | GOLDENDALE
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State | WA
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Zip | 98620-0417
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Country | US
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Telephone | 509-261-4612
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KONSTANTINE BUNDE
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Credential | D.C.
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Telephone | 509-261-4612
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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