Provider Demographics
NPI:1891523957
Name:CASCADE HOLISTIC HEALTH CARE PLLC
Entity type:Organization
Organization Name:CASCADE HOLISTIC HEALTH CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-702-0323
Mailing Address - Street 1:10317 NE 61ST CIR
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-5435
Mailing Address - Country:US
Mailing Address - Phone:267-702-0323
Mailing Address - Fax:360-397-0368
Practice Address - Street 1:10317 NE 61ST CIR
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-5435
Practice Address - Country:US
Practice Address - Phone:267-702-0323
Practice Address - Fax:360-397-0368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty