CASCADIA HEALTH

NPI # 

Practice Address:

4729 Se 75Th Ave

Portland, OR, 97206

Practice Phone:

503-788-1680

Practice Fax:

503-788-1686

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Multi-Specialty

Taxonomy Code:

261QM1300X

Deactivation Date:

2008-06-05T00:00:00.000Z

Deactivation Code:

None

Reactivation Date:

2008-06-17T00:00:00.000Z