Provider Demographics
NPI:1114013851
Name:CASCADE RADIOLOGISTS LTD
Entity Type:Organization
Organization Name:CASCADE RADIOLOGISTS LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:503-557-3811
Mailing Address - Street 1:5555 SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:WEST LINN
Mailing Address - State:OR
Mailing Address - Zip Code:97068-2859
Mailing Address - Country:US
Mailing Address - Phone:503-557-3811
Mailing Address - Fax:503-557-3854
Practice Address - Street 1:5555 SUMMIT ST
Practice Address - Street 2:
Practice Address - City:WEST LINN
Practice Address - State:OR
Practice Address - Zip Code:97068-2859
Practice Address - Country:US
Practice Address - Phone:503-557-3811
Practice Address - Fax:503-557-3854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR006705Medicaid
ORR139972Medicare PIN
OR006705Medicaid