Provider Demographics
NPI:1255845889
Name:CASCADE FIRST ASSIST, LLC
Entity Type:Organization
Organization Name:CASCADE FIRST ASSIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CWNER
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:DREESE
Authorized Official - Suffix:
Authorized Official - Credentials:CSFA
Authorized Official - Phone:503-318-1862
Mailing Address - Street 1:3471 7TH ST
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OR
Mailing Address - Zip Code:97032-9621
Mailing Address - Country:US
Mailing Address - Phone:503-318-1862
Mailing Address - Fax:503-692-2486
Practice Address - Street 1:3471 7TH ST
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OR
Practice Address - Zip Code:97032-9621
Practice Address - Country:US
Practice Address - Phone:503-318-1862
Practice Address - Fax:503-692-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-17
Last Update Date:2017-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty