Provider Demographics
NPI:1942315304
Name:CASCADIA WOMEN'S CLINIC, LLP
Entity Type:Organization
Organization Name:CASCADIA WOMEN'S CLINIC, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:D
Authorized Official - Last Name:SLAYTON-MILAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:360-433-0022
Mailing Address - Street 1:900 NE 139TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-2519
Mailing Address - Country:US
Mailing Address - Phone:360-433-0022
Mailing Address - Fax:360-433-6159
Practice Address - Street 1:900 NE 139TH ST STE 206
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2519
Practice Address - Country:US
Practice Address - Phone:360-433-0022
Practice Address - Fax:360-433-6159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7119738Medicaid
WA7119738Medicaid