Provider Demographics
NPI:1124128327
Name:CASCADE INTERNAL MEDICINE LLC
Entity type:Organization
Organization Name:CASCADE INTERNAL MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:K
Authorized Official - Last Name:APAU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-693-1300
Mailing Address - Street 1:730 SE OAK STREET
Mailing Address - Street 2:SUITE G CASCADE INTERNAL MEDICINE
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123
Mailing Address - Country:US
Mailing Address - Phone:503-693-1300
Mailing Address - Fax:503-693-1322
Practice Address - Street 1:730 SE OAK STREET
Practice Address - Street 2:SUITE G CASCADE INTERNAL MEDICINE
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123
Practice Address - Country:US
Practice Address - Phone:503-693-1300
Practice Address - Fax:503-693-1322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
=========OtherTRICARE
134488Medicare ID - Type Unspecified