Provider Demographics
NPI:1922124692
Name:CASCADE ASSISTANTS LLC
Entity Type:Organization
Organization Name:CASCADE ASSISTANTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRNFA
Authorized Official - Prefix:MS
Authorized Official - First Name:NIKOLETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SEIDNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-632-6141
Mailing Address - Street 1:PO BOX 5
Mailing Address - Street 2:
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OR
Mailing Address - Zip Code:97004-0005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:21721 S CLOUDVIEW DR
Practice Address - Street 2:
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-9160
Practice Address - Country:US
Practice Address - Phone:503-784-4469
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR94000450163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR1447301874Medicare UPIN
OR1083765416Medicare UPIN