Provider Demographics
NPI:1962918656
Name:CASCADE CONNECTIONS
Entity type:Organization
Organization Name:CASCADE CONNECTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:BEANBLOSSOM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-714-9355
Mailing Address - Street 1:1611 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4602
Mailing Address - Country:US
Mailing Address - Phone:360-647-9087
Mailing Address - Fax:360-647-1675
Practice Address - Street 1:4350 CORDATA PKWY STE 201
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8278
Practice Address - Country:US
Practice Address - Phone:360-647-9087
Practice Address - Fax:360-647-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-18
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare