Provider Demographics
NPI:1710157896
Name:CASCADE CHIROPRACTIC OF YAKIMA LLC
Entity Type:Organization
Organization Name:CASCADE CHIROPRACTIC OF YAKIMA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:ALLAN
Authorized Official - Last Name:NEAL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-966-4700
Mailing Address - Street 1:4202 SUMMITVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:YAKIMA
Mailing Address - State:WA
Mailing Address - Zip Code:98908-2928
Mailing Address - Country:US
Mailing Address - Phone:509-966-4700
Mailing Address - Fax:509-966-4701
Practice Address - Street 1:4202 SUMMITVIEW AVE
Practice Address - Street 2:
Practice Address - City:YAKIMA
Practice Address - State:WA
Practice Address - Zip Code:98908-2928
Practice Address - Country:US
Practice Address - Phone:509-966-4700
Practice Address - Fax:509-966-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-05
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center