Organization Active NPI

Cascade Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Bend, OR
National Provider Identifier
1669244497
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CASCADE MEDICAL IMAGING LLC
Practice address
1693 SW Chandler Ave Ste 120
Bend, OR 97702-3230
Phone
(541) 382-6633
Fax
(541) 383-1615
NPI assigned
Oct 25, 2023
Last updated
Oct 25, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CASCADE MEDICAL IMAGING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Authorized official

Name
Kristine Anne Harvey
Title
Chief Physician Admin SVCS Officer
Phone
(541) 598-3218

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1693 SW Chandler Ave Ste 120
Bend, OR 97702-3230

Mailing address

1460 NE Medical Center Dr
Bend, OR 97701-6061
Phone (541) 382-6633

National Provider Directory

National Provider Directory
Tax ID family
Cascade Medical Imaging LLC3 organizations share this tax ID, including this one
Part of
Cascade Medical Imaging LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1669244497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 NE MEDICAL CENTER DR",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977016061",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1693 SW CHANDLER AVE STE 120",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023230",
            "telephone_number": "541-382-6633",
            "fax_number": "541-383-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE MEDICAL IMAGING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CASCADE MEDICAL IMAGING LLC",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "CHIEF PHYSICIAN ADMIN SVCS OFFICER",
        "authorized_official_telephone_number": "541-598-3218"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

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