NPI | 1518609973 |
---|---|
Former Legal Business Name | CASCADE FAMILY PRACTICE |
Doing Business As | CASCADE FAMILY PRACTICE LLC |
Entity Type | Organization |
Authorized Contact | CARL MICHAEL ERICKSON Owner 503-233-5273 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2022-04-07 |
Last Update Date | 2022-05-11 |