MEDICARE: CASCADE CENTERS, INC.

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1336288968
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADE CENTERS, INC.

Provider Business Mailing Address
First Line	:	7180 SW FIR LOOP
Second Line	:	SUITE 1-A
City	:	PORTLAND
State	:	OR
Zip	:	97223-8023
Country	:	US
Telephone Number	:	503-639-3009
Fax Number	:	503-620-3453

Provider Business Practice Location Address
First Line	:	7180 SW FIR LOOP
Second Line	:	SUITE 1-A
City	:	PORTLAND
State	:	OR
Zip	:	97223-8023
Country	:	US
Telephone Number	:	503-639-3009
Fax Number	:	503-620-3453

Authorized Official
Title or Position	:	CLINICAL DIRECTOR - HIPAA OFFICER
Name	:	DR. JULIE D MARSHALL
Credential	:	PH.D.
Telephone Number	:	503-639-3009

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	08/22/2020

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Directions to “CASCADE CENTERS, INC. ” Practice Location

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