CASCADE MEDICAL CARE,LLC
NPI 1700318755
Licensed Practical Nurse in Bend, OR

Active since March 29, 2017
2408 NE DIVISION ST, BEND, OR 97703(541) 382-7521(541) 382-6297 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cascade Medical Care,llc NPPES

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

CASCADE MEDICAL CARE,LLC (NPI 1700318755) is a healthcare organization registered as a licensed practical nurse in Bend, Oregon and active in the NPI registry since March 2017. The organization lists Yvette Gaynor, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1700318755
Entity TypeOrganization
Primary Taxonomy164W00000X
Legal Business NameCASCADE MEDICAL CARE,LLC
Location Address2408 NE DIVISION STBend, OR 97703-3543
Mailing Address1228 Nw Canal BlvdRedmond, OR 97756-1335 · (541) 923-3970 · Fax (541) 699-4336
Fax(541) 382-6297
Organization SubpartNo
Authorized OfficialYvette GaynorNurse Practitioner · (541) 923-3970
Enumeration DateMarch 29, 2017
NPI 1700318755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in OR · 200550094NP
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

2408 NE DIVISION ST, Bend, OR 97703

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D1076442

Cascade Medical Imaging LLC · Redmond, OR
Active · expires Sep 30, 2026
CLIA Number38D1076442
Laboratory TypeOutpatient Imaging Facili
Certificate Effective DateOctober 1, 2024
Certificate Expiration DateSeptember 30, 2026
Laboratory DirectorDr. Laurie A. Martin MD
Laboratory Phone(541) 526-6688
Laboratory LocationCascade Medical Imaging LLC1253 NW Canal Blvd, Redmond, OR 97756
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1700318755, enumerated as an "organization" on March 29, 2017.

The provider is located at 2408 NE DIVISION ST BEND, OR 97703 and the phone number is (541) 382-7521.

Licensed Practical Nurse with taxonomy code 164W00000X.