MEDICARE: CASCADIA HEALTH

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	261QM1300X	Multi-Specialty Clinic/Center
2	332900000X	Non-Pharmacy Dispensing Site
3	261QP2300X	Primary Care Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538208129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADIA HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 8459
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97207-8459
Country	:	US
Telephone Number	:	503-238-0769
Fax Number	:	503-552-6208

Provider Business Practice Location Address
First Line	:	3036 NE M L KING BLVD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97212-3053
Country	:	US
Telephone Number	:	503-283-3763
Fax Number	:	503-735-0912

Authorized Official
Title or Position	:	CREDENTIALING SPECIALIST
Name	:	HEATHER J MCALPINE
Credential	:
Telephone Number	:	503-238-0769

Provider Enumeration Date	:	02/06/2007
Last Update Date	:	06/12/2026

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Directions to “CASCADIA HEALTH ” Practice Location

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