Provider Demographics
NPI:1053403691
Name:CASCADE PROFESSIONAL BUSINESS SERVICES LLC
Entity type:Organization
Organization Name:CASCADE PROFESSIONAL BUSINESS SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SAFLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-388-7707
Mailing Address - Street 1:213 NW LARCH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-1323
Mailing Address - Country:US
Mailing Address - Phone:541-526-6635
Mailing Address - Fax:541-526-6636
Practice Address - Street 1:213 NW LARCH AVE
Practice Address - Street 2:STE A
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-1323
Practice Address - Country:US
Practice Address - Phone:541-526-6635
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty