Active NPI
Cascade Medical Imaging LLC
- Diagnostic Radiology Physician
- Bend, OR
National Provider Identifier
1669244497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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, 2023
- Organization subpart
- Yes
- Parent organization
- CASCADE MEDICAL IMAGING LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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 LLC
- 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.
-
- Diagnostic Radiology Physician
- Bend, OR
- NPI 1760253975
-
- Diagnostic Radiology Physician
- Redmond, OR
- NPI 1821649963
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
- Cascade Kids Dental (Zooka Super Toothcare For Kids)
- Cascade Lakes Urology LLC
- Cascade Medical Care,LLC
- Cascade Medical Imaging LLC
- Cascade Medical Imaging LLC
- Cascade Medical Imaging LLC
- Cascade Medical Imaging LLC
- Cascade Medical Transport, LLC
- Cascade Medical Transports, LLC
- Cascade Mobile Physical Therapy
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.