Cascade Summit Family Practice PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

CASCADE SUMMIT FAMILY PRACTICE PC

Practice address

22400 S Salamo Road
Suite 101
West Linn, OR 97068

Phone

(503) 657-6010

Fax

(503) 655-0753

NPI assigned

Sep 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Lawrence S Tremaine, DO

Title

President

Phone

(503) 657-6010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Cynthia Katancik

  • Medical Physician Assistant
  • West Linn, OR
  • NPI 1972984565
  NPD (past)
• Marissa Erin Moritz-Guzik, MS, PA-C

  • Physician Assistant
  • Louisville, CO
  • NPI 1457669772
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287100800000",
    "number": "1649378076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22400 S SALAMO ROAD",
            "address_2": "SUITE 101",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97068",
            "telephone_number": "503-657-6010",
            "fax_number": "503-655-0753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22400 S SALAMO ROAD",
            "address_2": "SUITE 101",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "97068",
            "telephone_number": "503-657-6010",
            "fax_number": "503-655-0753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE SUMMIT FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2010-10-15",
        "status": "A",
        "authorized_official_last_name": "TREMAINE",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-657-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikenna Rae Carpenter
• Carla Carrillo
• Katherine June Carter, LCSW
• Cascade Counseling and Consulting
• Cascade Radiologists LTD
• Neil Castro
• Julia Chamberlain
• Amy Chambers
• Lily Chao, PHARMD
• Richard Dennis Chapman, M.D.

• Medical Specialty Clinic/Center in West Linn, OR
• Providers in West Linn, OR by specialty
• Medical Specialty Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.