Cascade Dermatology and Aesthetics

Primary specialty

SpecialistTaxonomy code 174400000X

License

OR12879 Issued in OR

Legal business name

CASCADE DERMATOLOGY AND AESTHETICS

Practice address

4765 Village Plaza Loop
Suite 100
Eugene, OR 97401

Phone

(541) 485-7546

Fax

(541) 345-5254

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dena Pullar

Title

Member

Phone

(541) 485-7546

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Gregory C Richterich, MD

  • Dermatology Physician
  • Eugene, OR
  • NPI 1316911274
  NPD

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1730243379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5679",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97405",
            "telephone_number": "541-485-7546",
            "fax_number": "541-345-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 VILLAGE PLAZA LOOP",
            "address_2": "SUITE 100",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "97401",
            "telephone_number": "541-485-7546",
            "fax_number": "541-345-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE DERMATOLOGY AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "PULLAR",
        "authorized_official_first_name": "DENA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "541-485-7546"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OR",
            "license": "OR12879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-GREGORY C RICHTERICH",
            "identifier": "1316911274",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-AMANDA CHRISTENSEN PA",
            "identifier": "1063511087",
            "state": "OR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI-KRIS MILLER, PA-C",
            "identifier": "1912972175",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cascade Anesthesia Services PC
• Cascade Anesthesia Services PC
• Cascade Anesthesia Services PC
• Cascade Dental
• Cascade Dermatology and Aesthetics
• Cascade Doula Services, LLC
• Cascade Manor, Inc.
• Cascade Me
• Cascade Surgical Oncology, PC
• Cascade Surgiccal Oncology, PC

• Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.