Cascade Health Services PLLC
Organization Active NPI Primary Care Clinic/Center · Port Townsend, WA
NPI 1669918876 · NPPES record last updated Jan 11, 2017
Key facts
- NPI
- 1669918876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- CASCADE HEALTH SERVICES PLLC
- Practice address
- 32 Kala Square PL
Port Townsend, WA 98368-9804 - Phone
- (360) 344-8166
- Fax
- (360) 379-6518
- NPI assigned
- Jan 11, 2017
- Organization subpart
- No
Authorized official
- Name
- Debbie Fountain
- Title
- Clinic Operations Manager
- Phone
- (360) 344-8166
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Cascade Health Services PLLC
Locations
32 Kala Square Pl
Port Townsend, WA 98368
Phone (360) 344-8166
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | WA | Yes |
Addresses
Primary practice location
32 Kala Square PL
Port Townsend, WA 98368-9804
Mailing address
32 Kala Square PL
Port Townsend, WA 98368-9804
Phone (360) 344-8166
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2045741 | Medicaid | WA |
Other names
- Kala Clinic
Other providers in Port Townsend, WA
- Kristina Ann Carlson
- Suzanne L. Carlson
- Todd J Carlson
- Jessica Kelia Carol
- Jordan Patricia Carr
- Cascade Medical Investors Limited Partnership
- Jovanna Pia Casey
- Jennifer Cashin
- Gina Casillas
- Gabrhea Caudill
All providers in Port Townsend, WA · Primary Care Clinic/Center in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.