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General NPI Number Information
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NPI Number | 1962056341
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Entity Type | Organization
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Legal Business Name | CASCADE SPECIALIZED NURSING, LLC.
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 05/16/2025
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Provider Practice Location Address
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Address Line | 20831 SE FIRWOOD RD
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City | SANDY
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State | OR
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Zip | 97055-9487
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Country | US
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Telephone | 971-888-2745
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Fax | 503-213-9135
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Provider Business Mailing Address
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Address Line | 20831 SE FIRWOOD RD
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City | SANDY
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State | OR
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Zip | 97055-9487
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Country | US
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Telephone | 971-888-2745
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Fax | 503-213-9135
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BRIAN YATES
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Credential |
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Telephone | 971-888-2745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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