Organization Active NPI

Cascade Professional Business Services LLC

  • Urology Physician
  • Redmond, OR
National Provider Identifier
1104918747
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
CASCADE PROFESSIONAL BUSINESS SERVICES LLC
Practice address
1523 NW Canal Blvd
Redmond, OR 97756-1340
Phone
(541) 923-3667
NPI assigned
Sep 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Safley
Title
VP Finance
Phone
(541) 388-7707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X OR Primary

Addresses

Primary practice location

1523 NW Canal Blvd
Redmond, OR 97756-1340

Mailing address

PO Box 1420
Redmond, OR 97756-0400
Phone (541) 548-2164

Other names 1

  • UROLOGY GROUP Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104918747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1420",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977560400",
            "telephone_number": "541-548-2164",
            "fax_number": "541-548-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 NW CANAL BLVD",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977561340",
            "telephone_number": "541-923-3667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE PROFESSIONAL BUSINESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SAFLEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "541-388-7707"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UROLOGY GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Redmond, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.