Provider Demographics
NPI:1740288265
Name:CASCADE SURGEONS
Entity type:Organization
Organization Name:CASCADE SURGEONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:SCOWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-435-6097
Mailing Address - Street 1:875 WESLEY ST
Mailing Address - Street 2:SUITE 230
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1613
Mailing Address - Country:US
Mailing Address - Phone:360-435-6097
Mailing Address - Fax:360-435-1871
Practice Address - Street 1:875 WESLEY ST
Practice Address - Street 2:SUITE 230
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1613
Practice Address - Country:US
Practice Address - Phone:360-435-6097
Practice Address - Fax:360-435-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7029671Medicaid
WA7029671Medicaid