CASCADE PARK SPORTS MEDICINE & REHAB CLINIC PLLC - NPI 1679641393

Q: What is Cascade Park Sports Medicine & Rehab Clinic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

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About Cascade Park Sports Medicine & Rehab Clinic Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CASCADE PARK SPORTS MEDICINE & REHAB CLINIC PLLC (NPI 1679641393) is a healthcare organization registered as a chiropractor in Vancouver, Washington and active in the NPI registry since December 2006. The organization lists Lucas Q Homer, Owner, as its authorized official.

NPPES Registry Identity

NPI1679641393

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameCASCADE PARK SPORTS MEDICINE & REHAB CLINIC PLLC

Location Address12214 SE MILL PLAIN BLVD, STE 101Vancouver, WA 98684-6019

Mailing Address12214 Se Mill Plain Blvd, Ste 101Vancouver, WA 98684-6019 · (360) 254-4040 · Fax (360) 253-7808

Phone(360) 254-4040

Fax(360) 253-7808

Organization SubpartNo

Authorized OfficialLucas Q HomerOwner · (360) 254-4040

Enumeration DateDecember 1, 2006

Last NPPES UpdateSeptember 13, 2007

✔ NPI 1679641393 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in WA · CH00002108

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

12214 SE MILL PLAIN BLVD, Vancouver, WA 98684

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Other Identifiers 1

Medicare PINAB37764WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. SEAN WILLIAM MARTIN LMP

Massage Therapist

12214 SE MILL PLAIN BLVD, #101
VANCOUVER, WA 98684

Clark County (360) 254-4040

DR. SPENCER JENSEN HUBBARD DC

Chiropractor

12214 SE MILL PLAIN BLVD
VANCOUVER, WA 98684

Clark County (360) 944-1800

OREGON PEDORTHIC SERVICES

Durable Medical Equipment & Medical Supplies

12214 SE MILL PLAIN BLVD, STE 102
VANCOUVER, WA 98684

Clark County (360) 885-1930

MARY E GOETZ PT

Mechanotherapist

12214 SE MILL PLAIN BLVD, #101
VANCOUVER, WA 98684

Clark County (360) 254-4040

ANDREA LYNN HUGHES LMP

Massage Therapist

12214 SE MILL PLAIN BLVD, SUITE 101
VANCOUVER, WA 98684

Clark County (360) 254-4040

CYNTHIA M STOVALL LMP

Massage Therapist

12214 SE MILL PLAIN BLVD, SUITE 101
VANCOUVER, WA 98684

Clark County (360) 241-0970

MISS JACQUELINE R LEMON I LMP

Contractor

12214 SE MILL PLAIN BLVD, SUITE 101
VANCOUVER, WA 98684

Clark County (360) 944-1800

LUCAS Q HOMER DC

Chiropractor

12214 SE MILL PLAIN BLVD, STE 101
VANCOUVER, WA 98684

Clark County (360) 254-4040

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cascade Park Sports Medicine & Rehab Clinic PLLC's NPI number?

The NPI number for Cascade Park Sports Medicine & Rehab Clinic PLLC is 1679641393. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Cascade Park Sports Medicine & Rehab Clinic PLLC located?

Cascade Park Sports Medicine & Rehab Clinic PLLC is located at 12214 SE Mill Plain Blvd Ste 101, Vancouver, WA 98684. The listed phone number is (360) 254-4040.

What is Cascade Park Sports Medicine & Rehab Clinic PLLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Cascade Park Sports Medicine & Rehab Clinic PLLC was last updated on September 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.