MEDICARE: CASCADE SURGEONS

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	174400000X	Specialist

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	:	1740288265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASCADE SURGEONS

Provider Business Mailing Address
First Line	:	875 WESLEY ST
Second Line	:	SUITE 230
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1613
Country	:	US
Telephone Number	:	360-435-6097
Fax Number	:	360-435-1871

Provider Business Practice Location Address
First Line	:	875 WESLEY ST
Second Line	:	SUITE 230
City	:	ARLINGTON
State	:	WA
Zip	:	98223-1613
Country	:	US
Telephone Number	:	360-435-6097
Fax Number	:	360-435-1871

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	FRANCES ANNE SCOWN
Credential	:
Telephone Number	:	360-435-6097

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	08/22/2020

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Directions to “CASCADE SURGEONS ” Practice Location

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