Provider Demographics
NPI:1659572691
Name:CASCADE ACUPUNCTURE CENTER, LLC
Entity Type:Organization
Organization Name:CASCADE ACUPUNCTURE CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CAROLA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEPPER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-387-4325
Mailing Address - Street 1:2690 MAY STREET
Mailing Address - Street 2:SUITE 101
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031
Mailing Address - Country:US
Mailing Address - Phone:541-387-4325
Mailing Address - Fax:541-387-4326
Practice Address - Street 1:2690 MAY STREET
Practice Address - Street 2:SUITE 101
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031
Practice Address - Country:US
Practice Address - Phone:541-387-4325
Practice Address - Fax:541-387-4326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty