Cascade Family Practice

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO12690 Issued in OR

Legal business name

CASCADE FAMILY PRACTICE

Practice address

7215 SE Milwaukie Ave
Portland, OR 97202-6103

Phone

(503) 233-5273

Fax

(503) 236-2796

NPI assigned

Jan 28, 2011

Last updated

Jan 28, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Carl M Erickson, D.O.NPI 1710970876

Title

Family Practice

Phone

(503) 233-5273

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Carl M Erickson, D.O. Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carl Michael Erickson, D.O.

  • Family Medicine Physician
  • Milwaukie, OR
  • NPI 1710970876

  Neuromusculoskeletal Medicine, Sports Medicine

  NPD (past) Authorized official
• Lisa Rene Hodgers Bayne, FNP

  • Family Nurse Practitioner
  • Portland, OR
  • NPI 1609090398
  NPD (past)

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296172800000",
    "number": "1881990570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026103",
            "telephone_number": "503-233-5273",
            "fax_number": "503-236-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7215 SE MILWAUKIE AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972026103",
            "telephone_number": "503-233-5273",
            "fax_number": "503-236-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-28",
        "last_updated": "2011-01-28",
        "status": "A",
        "authorized_official_last_name": "ERICKSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "FAMILY PRACTICE",
        "authorized_official_telephone_number": "503-233-5273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "OR",
            "license": "DO12690",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO12690",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226639",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carl M Erickson, D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cascade Centers, Inc.
• Cascade Chiropractic and Wellness LLC
• Cascade Counseling and Assessment
• Cascade Cytology Reference
• Cascade Cytology Reference (Cascade Cytology Reference Laboratory)
• Cascade Foot and Ankle Specialists, LLC (Clifford Mah, D.P.M.)
• Cascade Mist Acupuncture LLC
• Cascade Neuromonitoring Service Associates, LLC
• Cascade Pathology Services, Corp
• Cascade Physicians, P.C.

• Family Medicine Physician in Portland, OR
• Providers in Portland, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2011; 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.