CASCADE SPINE CENTER, LLC
Surgery Yellow Pages
Tualatin, Oregon
Provider NPI: 1801891668
Organization Information:Organization Name: CASCADE SPINE CENTER, LLC
Practice Location:
6464 SW BORLAND RD BLDG A STE A-3 TUALATIN, OR 97062 US
Tel: 971-404-3366 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
6464 SW BORLAND RD BLDG A STE A-3 TUALATIN, OR 97062 US
Tel: 971-404-3366 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 261QA1903X | Ambulatory Health Care Facilities Clinic/Center Ambulatory Surgical | OR | 071546 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
299326 | OR | 05 | |
RAILROAD MEDICARE | P00082443 | OR | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin