Provider Demographics
NPI:1942959531
Name:CARING FOR THE CASCADES WEST, LLC
Entity Type:Organization
Organization Name:CARING FOR THE CASCADES WEST, LLC
Other - Org Name:CARING FOR THE CASCADES WEST
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ADRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEGMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-238-7500
Mailing Address - Street 1:2659 SW 4TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-6406
Mailing Address - Country:US
Mailing Address - Phone:541-238-7500
Mailing Address - Fax:
Practice Address - Street 1:1598 PEARL ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4605
Practice Address - Country:US
Practice Address - Phone:541-600-3909
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-21
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR528863Medicaid