Active NPI
Cascade Functional Medicine PS
- Family Medicine Physician
- Vancouver, WA
National Provider Identifier
1063622355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 601417908
- Legal business name
- CASCADE FUNCTIONAL MEDICINE PS
- Practice address
- 16500 SE 15TH St Ste 100
Vancouver, WA 98683-9666 - Phone
- (360) 254-4402
- Fax
- (360) 892-9241
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sherilyn Marie Foltz-Cook, D.O.
- Title
- Owner/Physician
- Phone
- (360) 254-4402
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 601417908 | WA | Primary |
Addresses
Primary practice location
16500 SE 15TH St Ste 100
Vancouver, WA 98683-9666
Mailing address
16500 SE 15TH St Ste 100
Vancouver, WA 98683-9666
Phone (360) 254-4402
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7051428 | Medicaid | WA | |
| 601417908 | Other | WA | UBI # STATE OF WA |
| 50D0988185 | Other | WA | CORP CLIA # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
406 SE 131st Ave
#203B
Vancouver, WA 98683
Phone (360) 254-4402
16500 SE 15th St
Ste 100
Vancouver, WA 98683
Phone (360) 254-4402
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Vancouver, WA
- NPI 1013114586
-
- Family Medicine Physician
- Vancouver, WA
- NPI 1952376196
-
- Physical Therapist
- Longview, WA
- NPI 1306877592
-
- Medical Physician Assistant
- Lake Oswego, OR
- NPI 1336411412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785456000000",
"number": "1063622355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16500 SE 15TH ST STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839666",
"telephone_number": "360-254-4402",
"fax_number": "360-892-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16500 SE 15TH ST STE 100",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986839666",
"telephone_number": "360-254-4402",
"fax_number": "360-892-9241"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE FUNCTIONAL MEDICINE PS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2026-07-31",
"certification_date": "2026-07-31",
"status": "A",
"authorized_official_last_name": "FOLTZ-COOK",
"authorized_official_first_name": "SHERILYN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "360-254-4402",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "WA",
"license": "601417908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7051428",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UBI # STATE OF WA",
"identifier": "601417908",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORP CLIA #",
"identifier": "50D0988185",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.