Cascade West Medical Practice LLC
NPI #1639468432 in Grants Pass, Oregon
Provider Information
- NPI Number
- 1639468432
- Entity Type
- Organization
- Organization Name
- Cascade West Medical Practice LLC
- Primary Specialty
- Nurse Practitioner - Adult Health
- Enumeration Date
- Apr 1, 2011
- Last Updated
- Apr 1, 2011
Practice Location
- Address
- 201 NE SAVAGE ST
- City
- Grants Pass
- State
- Oregon
- ZIP Code
- 97526-1309
- Phone
- (541) 787-4360
Authorized Official
- Name
- MR. MICHAEL L JOHNSON
- Title
- OFFICE MANAGER
- Phone
- (541) 450-8345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Adult Health — Adult Health |
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