Cascadia

NPI 1013055953 - Adult Companion - 372600000X

NPI Details
NPI 1013055953
Enumeration Date 02/02/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LISA DENISE LISA
Position RESIDENTAL COUNSELOR 1
Phone (503) 528-0757
Fax
Practice Location
2330 NE SISKIYOU ST
PORTLAND OR, 97212-2471, US
Phone (503) 528-0757
Fax
Business Location
6902 N ALBINA AVE
PORTLAND OR, 97217-1604, US
Phone (503) 288-1688
Fax
Toxanomy
Taxonomy Code 372600000X
License State Oregon
License Number 3726000OOX
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According to our database, Cascadia NPI is 1013055953, taxonomy code is 372600000X and license number is 3726000OOX, license state is located at Oregon. Cascadia physically located at 2330 Ne Siskiyou St, Portland OR, 97212-2471. NPI Number 1033115704 has the healthcare provider type.

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1013055953 NPI number is provided on an as is basis without warranty of any kind. 1013055953 is maintained by the National Plan & Provider Enumeration System. The contents of Cascadia are for informational purposes only.