Cascade Surgical Physician Assistants, Pllc
NPI #1811960990 in Vancouver, Washington
Provider Information
- NPI Number
- 1811960990
- Entity Type
- Organization
- Organization Name
- Cascade Surgical Physician Assistants, Pllc
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Feb 9, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4114 MAPLE ST
- City
- Vancouver
- State
- Washington
- ZIP Code
- 98660-1647
- Phone
- (360) 699-8754
Authorized Official
- Name
- BRIAN GRANVALL, PA-C
- Title
- MANAGER
- Phone
- (360) 699-8754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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