Active NPI
Medford of Cascadia, LLC
- Skilled Nursing Facility
- Medford, OR
National Provider Identifier
1871413005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- MEDFORD OF CASCADIA, LLC
- Practice address
- 835 Crater Lake Ave
Medford, OR 97504-6505 - Phone
- (541) 773-7717
- NPI assigned
- Jul 17, 2026
- 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
- Owen Hammond
- Title
- President
- Phone
- (208) 401-9621
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
835 Crater Lake Ave
Medford, OR 97504-6505
Mailing address
2205 E Riverside Dr Ste 100
Eagle, ID 83616-7621
Phone (208) 401-9600
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1871413005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 E RIVERSIDE DR STE 100",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167621",
"telephone_number": "208-401-9600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 CRATER LAKE AVE",
"city": "MEDFORD",
"state": "OR",
"postal_code": "975046505",
"telephone_number": "541-773-7717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDFORD OF CASCADIA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-07-17",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "HAMMOND",
"authorized_official_first_name": "OWEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "208-401-9621"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Medford, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.