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NPI Code Detail

MEDICARE: CASCADIA HEALTH

MEDICARE: CASCADIA HEALTH
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
1261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962589259
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 : 310 NW FLANDERS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97209-3941
Country : US
Telephone Number : 503-827-3949
Fax Number : 503-827-0931
Authorized Official
Title or Position : CREDENTIALING SPECIALIST
Name : HEATHER J MCALPINE
Credential :
Telephone Number : 503-238-0769
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/26/2022

Similar Medicare Providers

1902951320 — MR. SEAN SCOTT CARTER QMHA
Practice Location Address:
310 NW FLANDERS ST
PORTLAND, OR
97209-3941
Practice Phone: 503-827-3949
Practice Fax: 503-827-0931
1679627111 — ELVA WOLF REDWOOD QMHA
Practice Location Address:
310 NW FLANDERS ST
PORTLAND, OR
97209-3941
Practice Phone: 503-827-3949
Practice Fax: 503-827-0931
1558415091 — MICHAEL RICHARD BROCK QMHA
Practice Location Address:
310 NW FLANDERS ST
PORTLAND, OR
97209-3941
Practice Phone: 503-827-3949
Practice Fax: 503-827-0931
1821143199 — MR. ERIC PASCAL SEVOS LCSW, QMHP
Practice Location Address:
310 NW FLANDERS ST
PORTLAND, OR
97209-3941
Practice Phone: 503-827-3949
Practice Fax: 503-827-0931
1861547275 — DEIRDRE KATHLEEN BENTLEY QMHP
Practice Location Address:
310 NW FLANDERS ST
PORTLAND, OR
97209-3941
Practice Phone: 503-827-3949
Practice Fax: 503-827-0931
1700931110 — DAWN MICHELLE COLEMAN QMHA
Practice Location Address:
310 NW FLANDERS ST
PORTLAND, OR
97209-3941
Practice Phone: 503-827-3949
Practice Fax: 503-827-0931

Directions to “CASCADIA HEALTH ” Practice Location

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