Provider Demographics
NPI:1962056341
Name:CASCADE SPECIALIZED NURSING, LLC.
Entity type:Organization
Organization Name:CASCADE SPECIALIZED NURSING, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:YATES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-341-3820
Mailing Address - Street 1:20831 SE FIRWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:OR
Mailing Address - Zip Code:97055-9487
Mailing Address - Country:US
Mailing Address - Phone:503-341-3820
Mailing Address - Fax:503-320-2176
Practice Address - Street 1:20831 SE FIRWOOD RD
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:OR
Practice Address - Zip Code:97055-9487
Practice Address - Country:US
Practice Address - Phone:503-341-3820
Practice Address - Fax:503-320-2176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health