Organization Active NPI

Cascade Family Care PC

  • Family Nurse Practitioner
  • Salem, OR
National Provider Identifier
1174717573
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200150116NP Issued in OR
Legal business name
CASCADE FAMILY CARE PC
Practice address
1095 Liberty St NE
Ste a
Salem, OR 97301-1137
Phone
(503) 581-6550
Fax
(503) 581-4755
NPI assigned
Aug 29, 2007
Last updated
Jul 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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

Authorized official

Name
Mr. John Henry Weller, FNPCNPI 1871538819
Title
Owner
Phone
(503) 581-6550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 200150116NP OR Primary

Addresses

Primary practice location

1095 Liberty St NE
Ste a
Salem, OR 97301-1137

Mailing address

1095 Liberty St NE
Ste a
Salem, OR 97301-1137
Phone (503) 581-6550

Other identifiers 1

IdentifierTypeStateIssuer
210854MedicaidOR

National Provider Directory

National Provider Directory

Locations

1085 SW Linden Ln
Dallas, OR 97338
Phone (503) 623-2238

340 NW Brentwood Ave
Dallas, OR 97338
Phone (503) 831-0214

664 SE Jefferson St
Dallas, OR 97338
Phone (503) 623-8104

202 S 9th St
Independence, OR 97351
Phone (503) 838-0330

202 S 9th St
#Four
Independence, OR 97351
Phone (503) 838-0330

5525 McLeod Ln NE
Keizer, OR 97303
Phone (503) 689-8084

1535 SW Shirley Ann Dr
McMinnville, OR 97128
Phone (503) 472-9997

2750 NE Doran Dr
McMinnville, OR 97128
Phone (503) 408-0404

1095 Liberty St NE
Salem, OR 97301
Phone (503) 581-6550

1095 Liberty St NE
Ste A
Salem, OR 97301
Phone (503) 581-6550

1111 Liberty St SE
Salem, OR 97302
Phone (503) 581-6550

1355 Boone Rd SE
Salem, OR 97306
Phone (503) 365-7500

1551 Center St NE
#324
Salem, OR 97301
Phone (503) 375-7317

1615 Brush College Rd NW
Salem, OR 97304
Phone (503) 361-8599

2850 Evergreen Ave NE
#Four
Salem, OR 97301
Phone (503) 566-5876

2933 Center St NE
Salem, OR 97301
Phone (503) 362-2225

3524 Fisher Rd NE
Salem, OR 97305
Phone (503) 363-9640

5881 Woodside Dr SE
Salem, OR 97306
Phone (503) 316-0687

960 Boone Rd SE
Salem, OR 97306
Phone (503) 363-2273

9460 Fowler Ln SE
Turner, OR 97392
Phone (503) 743-3392

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1174717573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 LIBERTY ST NE",
            "address_2": "STE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011137",
            "telephone_number": "503-581-6550",
            "fax_number": "503-581-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 LIBERTY ST NE",
            "address_2": "STE A",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973011137",
            "telephone_number": "503-581-6550",
            "fax_number": "503-581-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FAMILY CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "WELLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-581-6550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNPC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200150116NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210854",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.