Active NPI
Cascade Hospice & Palliative Care Consulting, Inc
- Hospice and Palliative Medicine (Family Medicine) Physician
- Hood River, OR
National Provider Identifier
1700182425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- MD24391
- Legal business name
- CASCADE HOSPICE & PALLIATIVE CARE CONSULTING, INC
- Practice address
- 4355 W Ridge Dr
Hood River, OR 97031-7734 - Phone
- (541) 705-7505
- Fax
- (971) 244-9050
- NPI assigned
- Jan 27, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Glen R Patrizio, MD
- Title
- President & Medical Director
- Phone
- (541) 705-7505
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD24391 | OR | Primary |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | MD60191672 | WA |
Addresses
Primary practice location
4355 W Ridge Dr
Hood River, OR 97031-7734
Mailing address
4355 W Ridge Dr
Hood River, OR 97031-7734
Phone (541) 705-7505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227266 | Medicaid | OR |
National Provider Directory
National Provider Directory- Tax ID family
- Cascade Hospice Palliative Care Consulting Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Hospice and Palliative Medicine (Family Medicine) Physician
- Hood River, OR
- NPI 1447600796
Locations
263 E May St
Winder, GA 30680
Phone (706) 449-2884
230 Grant Rd
Ste B2
East Wenatchee, WA 98802
Phone (509) 888-6334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461715200000",
"number": "1700182425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4355 W RIDGE DR",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970317734",
"telephone_number": "541-705-7505",
"fax_number": "971-244-9050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4355 W RIDGE DR",
"city": "HOOD RIVER",
"state": "OR",
"postal_code": "970317734",
"telephone_number": "541-705-7505",
"fax_number": "971-244-9050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASCADE HOSPICE & PALLIATIVE CARE CONSULTING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-27",
"last_updated": "2016-04-27",
"status": "A",
"authorized_official_last_name": "PATRIZIO",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT & MEDICAL DIRECTOR",
"authorized_official_telephone_number": "541-705-7505",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "OR",
"license": "MD24391",
"primary": true
},
{
"code": "207QH0002X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WA",
"license": "MD60191672",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227266",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hood River, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.