Provider Demographics
NPI:1174239743
Name:CASCADE ACUPUNCTURE, INC
Entity type:Organization
Organization Name:CASCADE ACUPUNCTURE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ELISSA
Authorized Official - Middle Name:LIN
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:541-385-5838
Mailing Address - Street 1:60959 MILES CT
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-9373
Mailing Address - Country:US
Mailing Address - Phone:541-385-5838
Mailing Address - Fax:541-393-9833
Practice Address - Street 1:60959 MILES CT
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-9373
Practice Address - Country:US
Practice Address - Phone:541-385-5838
Practice Address - Fax:541-393-9833
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center