Organization Active NPI

Cascade Regenerative Medicine

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Portland, OR
National Provider Identifier
1396431474
Registry record updated Apr 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
Legal business name
CASCADE REGENERATIVE MEDICINE
Practice address
6420 S Macadam Ave Ste 208
Portland, OR 97239-3518
Phone
(503) 841-5292
NPI assigned
Apr 12, 2023
Last updated
Apr 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2023

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

Authorized official

Name
Dr. Samuel Oltman, ND, RMSKNPI 1811368384
Title
Owner/Physician
Phone
(503) 914-8455

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)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 204C00000X Primary

Addresses

Primary practice location

6420 S Macadam Ave Ste 208
Portland, OR 97239-3518

Mailing address

6420 S Macadam Ave Ste 208
Portland, OR 97239-3518
Phone (503) 841-5292

National Provider Directory

National Provider Directory

Locations

6420 S Macadam Ave
Ste 208
Portland, OR 97239
Phone (503) 841-5292

Practitioners & affiliated clinicians

Practitioners 1

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": "1681257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681257600000",
    "number": "1396431474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393518",
            "telephone_number": "503-841-5292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 S MACADAM AVE STE 208",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972393518",
            "telephone_number": "503-841-5292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE REGENERATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-04-12",
        "certification_date": "2023-04-12",
        "status": "A",
        "authorized_official_last_name": "OLTMAN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "503-914-8455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, RMSK"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; 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.