Cascade Dermatology and Aesthetics

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

Legal business name

CASCADE DERMATOLOGY AND AESTHETICS

Practice address

4765 Village Plaza Loop Ste 100
Eugene, OR 97401-6676

Phone

(541) 485-7546

Fax

(541) 345-5254

NPI assigned

Oct 9, 2019

Organization subpart

No

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

Authorized official

Name

Dena M Pullar

Title

Owner/Manager

Phone

(541) 485-7546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gregory C Richterich, MD

  • Dermatology Physician
  • Eugene, OR
  • NPI 1316911274
  Medicare reassignment Care Compare group NPD
• Benjamin G Vazquez, MD

  • Dermatology Physician
  • Eugene, OR
  • NPI 1093918658
  Medicare reassignment Care Compare group NPD
• Amanda G Weinman, PA

  • Physician Assistant
  • Eugene, OR
  • NPI 1063511087
  Medicare reassignment Care Compare group
• Cassandra M Wren, PA

  • Physician Assistant
  • Eugene, OR
  • NPI 1003241084
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1245872357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5679",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974050679",
            "telephone_number": "541-485-7546",
            "fax_number": "541-345-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP STE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016676",
            "telephone_number": "541-485-7546",
            "fax_number": "541-345-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE DERMATOLOGY AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-09",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "PULLAR",
        "authorized_official_first_name": "DENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "541-485-7546"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cascade Anesthesia Services
• Cascade Anesthesia Services PC
• Cascade Anesthesia Services PC
• Cascade Anesthesia Services PC
• Cascade Dental
• Cascade Dermatology and Aesthetics
• Cascade Doula Services, LLC
• Cascade Manor, Inc.
• Cascade Me
• Cascade Surgical Oncology, PC

• Dermatology Physician in Eugene, OR
• Providers in Eugene, OR by specialty
• Dermatology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.

Verify at the official NPI Registry.