Organization Active NPI

Cascade Neuromonitoring Service Associates, LLC

  • Clinical Neurophysiology Physician
  • Portland, OR
National Provider Identifier
1447732383
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
Legal business name
CASCADE NEUROMONITORING SERVICE ASSOCIATES, LLC
Practice address
818 SW 3Rd Ave #240
Portland, OR 97204-2405
Phone
(503) 404-4034
NPI assigned
Sep 6, 2018
Last updated
May 5, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2021

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

Authorized official

Name
Felicia Alderete
Title
Manager Client Experience Contracts
Phone
(210) 598-2800

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU
Clinical Neurophysiology Physician 2084N0600X NU Primary
Electroneurodiagnostic Specialist/Technologist 246ZE0600X NU
Electrodiagnostic Medicine Physician 204R00000X NU

Addresses

Primary practice location

818 SW 3Rd Ave #240
Portland, OR 97204-2405

Mailing address

818 SW 3Rd Ave #240
Portland, OR 97204-2405
Phone (503) 404-4034

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620172800000",
    "number": "1447732383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE #240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-404-4034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 SW 3RD AVE #240",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972042405",
            "telephone_number": "503-404-4034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE NEUROMONITORING SERVICE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-06",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "ALDERETE",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "MANAGER CLIENT EXPERIENCE CONTRACTS",
        "authorized_official_telephone_number": "210-598-2800"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204R00000X",
            "taxonomy_group": "",
            "desc": "Electrodiagnostic Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 May 5, 2021; 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.