MEDICARE: CASCADIA FAMILY MEDICINE, LLC

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	111N00000X	Chiropractor	5076	OR
2	175F00000X	Naturopath	NT 60463323	WA

General Provider Information

NPI Number	:	1629023445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADIA FAMILY MEDICINE, LLC

Provider Business Mailing Address
First Line	:	620 FERNDALE DR
Second Line	:
City	:	BIGFORK
State	:	MT
Zip	:	59911
Country	:	US
Telephone Number	:	503-330-5130
Fax Number	:

Provider Business Practice Location Address
First Line	:	919 NW 122ND ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98177-4324
Country	:	US
Telephone Number	:	541-797-2102
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. JAZPER E TORRES
Credential	:	N.D.,D.C.
Telephone Number	:	503-330-5130

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	02/09/2017

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