Organization Active NPI

Cascade Medical Specialties, LLC

  • Durable Medical Equipment & Medical Supplies
  • Clackamas, OR
National Provider Identifier
1114395167
Registry record updated Sep 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CASCADE MEDICAL SPECIALTIES, LLC
Practice address
15865 SE 114TH Ave
Suite B
Clackamas, OR 97015-9023
Phone
(503) 305-3827
Fax
(503) 253-9340
NPI assigned
Sep 8, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2015

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

Authorized official

Name
Lance Gomez
Title
President
Phone
(503) 305-3827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

15865 SE 114TH Ave
Suite B
Clackamas, OR 97015-9023

Mailing address

15865 SE 114TH Ave
Suite B
Clackamas, OR 97015-9023
Phone (503) 305-3827

National Provider Directory

National Provider Directory

Locations

15865 SE 114th Ave
Ste B
Clackamas, OR 97015
Phone (503) 305-3827

NPI Registry JSON

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441670400000",
    "number": "1114395167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15865 SE 114TH AVE",
            "address_2": "SUITE B",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159023",
            "telephone_number": "503-305-3827",
            "fax_number": "503-253-9340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15865 SE 114TH AVE",
            "address_2": "SUITE B",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970159023",
            "telephone_number": "503-305-3827",
            "fax_number": "503-253-9340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL SPECIALTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-08",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-305-3827"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clackamas, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; 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.