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NPI Code Detail

MEDICARE: CASCADE SURGERY ASSOCIATES, PLLC

MEDICARE: CASCADE SURGERY ASSOCIATES, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CN8221OTHERWAMEDICARE RR GRP

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
275850OTHERWAL&I GROUP

General Provider Information

NPI Number : 1265499180
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASCADE SURGERY ASSOCIATES, PLLC
Provider Business Mailing Address
First Line : PO BOX 35142 #698909
Second Line :
City : SEATTLE
State : WA
Zip : 98124-5142
Country : US
Telephone Number : 253-833-7750
Fax Number : 253-833-7469
Provider Business Practice Location Address
First Line : 122 3RD ST NE
Second Line :
City : AUBURN
State : WA
Zip : 98002-4013
Country : US
Telephone Number : 253-833-7750
Fax Number : 253-833-7469
Authorized Official
Title or Position : PRACTICE MANAGER
Name : SHAUN SCHULLER
Credential :
Telephone Number : 253-833-7750
Provider Enumeration Date : 04/26/2006
Last Update Date : 01/10/2019

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Directions to “CASCADE SURGERY ASSOCIATES, PLLC ” Practice Location

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