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NPI Code Detail

MEDICARE: CASCADE MANOR, INC.

MEDICARE: CASCADE MANOR, 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
1314000000XSkilled Nursing Facility1221904933OR

General Provider Information

NPI Number : 1932258563
Entity Type Code : Organization
Provider Name (Legal Business Name) : CASCADE MANOR, INC.
Provider Business Mailing Address
First Line : 65 W. 30TH AVE.
Second Line :
City : EUGENE
State : OR
Zip : 97405-3373
Country : US
Telephone Number : 541-342-5901
Fax Number : 541-434-4250
Provider Business Practice Location Address
First Line : 65 W 30TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97405-3485
Country : US
Telephone Number : 541-342-5901
Fax Number : 541-434-4250
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : KIM SORNSON
Credential :
Telephone Number : 541-658-9535
Provider Enumeration Date : 01/10/2007
Last Update Date : 12/11/2025

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Directions to “CASCADE MANOR, INC. ” Practice Location

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