1902061534 NPI number — CASCADE ANESTHESIA SERVICES PC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1902061534 NPI number — CASCADE ANESTHESIA SERVICES PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CASCADE ANESTHESIA SERVICES PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1902061534
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/23/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 51389
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EUGENE
Provider Business Mailing Address State Name:
OR
Provider Business Mailing Address Postal Code:
97405-0907
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
541-345-4343
Provider Business Mailing Address Fax Number:
541-345-4350

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
85463 SVARVERUD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EUGENE
Provider Business Practice Location Address State Name:
OR
Provider Business Practice Location Address Postal Code:
97405-9427
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
541-345-4343
Provider Business Practice Location Address Fax Number:
541-345-4350
Provider Enumeration Date:
07/23/2008

Additional Information

Authorized Official

Authorized Official Last Name:
TURK
Authorized Official First Name:
JERALD
Authorized Official Middle Name:
ANTHONY
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
541-484-0271

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , registered in the state of OR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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