Provider Demographics
NPI:1003227935
Name:CASCADE HYGIENE
Entity Type:Organization
Organization Name:CASCADE HYGIENE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RDH
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:R
Authorized Official - Last Name:POCUIS
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:360-362-0151
Mailing Address - Street 1:PO BOX 5842
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-0600
Mailing Address - Country:US
Mailing Address - Phone:360-362-0151
Mailing Address - Fax:
Practice Address - Street 1:3709 NW 29TH ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-1966
Practice Address - Country:US
Practice Address - Phone:360-362-0151
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-14
Last Update Date:2014-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADH00007042124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes124Q00000XDental ProvidersDental HygienistGroup - Multi-Specialty