Cascadia Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH00001293 Issued in WA

Legal business name

CASCADIA CLINIC LLC

Doing business as

Cascadia Chiropractic and Massage

Practice address

1507 172ND St NE
Suite a
Marysville, WA 98271-5484

Phone

(360) 652-7246

Fax

(360) 654-0611

NPI assigned

Jan 7, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael T Breneman, D.C.

Title

Owner/Doctor of Chiropractic

Phone

(360) 652-7246

Specialties & licenses 4

Addresses

Other names 1

• Cascadia Chiropractic and Massage Doing business as

Locations

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1902262835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 172ND ST NE",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982715484",
            "telephone_number": "360-652-7246",
            "fax_number": "360-654-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 172ND ST NE",
            "address_2": "SUITE A",
            "city": "MARYSVILLE",
            "state": "WA",
            "postal_code": "982715484",
            "telephone_number": "360-652-7246",
            "fax_number": "360-654-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASCADIA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "BRENEMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER/DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "360-652-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00001293",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60402217",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00021076",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Other",
            "state": "WA",
            "license": "CX60618136",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascadia Chiropractic and Massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jill A Carter, LMT
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• Cascade Nurse Delegating LLC
• Diane L Cashman, ARNP
• Kaila Casper
• Jerade McCain Caulkins, OTD, OTR/L
• Susan Cavanagh
• CC Compassionate Care LLC

• Chiropractor in Marysville, WA
• Providers in Marysville, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.