CASCADE DERMATOLOGY AND AESTHETICS
NPI 1730243379
Specialist in Eugene, OR

Active since December 20, 2006CLIA 38D0626694 · Microscopy
4765 VILLAGE PLAZA LOOP, SUITE 100, EUGENE, OR 97401(541) 485-7546(541) 345-5254 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cascade Dermatology And Aesthetics NPPES

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

CASCADE DERMATOLOGY AND AESTHETICS (NPI 1730243379) is a healthcare organization registered as a specialist in Eugene, Oregon and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through September 24, 2027 and lists Dena Pullar, Member, as its authorized official.

NPPES Registry Identity

NPI1730243379
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCASCADE DERMATOLOGY AND AESTHETICS
Location Address4765 VILLAGE PLAZA LOOP, SUITE 100Eugene, OR 97401
Mailing AddressPo Box 5679Eugene, OR 97405 · (541) 485-7546 · Fax (541) 345-5254
Fax(541) 345-5254
Organization SubpartNo
Authorized OfficialDena PullarMember · (541) 485-7546
Enumeration DateDecember 20, 2006
Last NPPES UpdateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1730243379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · OR12879
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4765 VILLAGE PLAZA LOOP, Eugene, OR 97401

Other Identifiers 3

Other1316911274OR · Npi-gregory C Richterich
Other1063511087OR · Npi-amanda Christensen Pa
Other1912972175OR · Npi-kris Miller, Pa-c

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

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 38D0626694

Cascade Dermatology And Aesthetics · Eugene, OR
Active · expires Sep 24, 2027
CLIA Number38D0626694
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorBenjamin G. Vazquez
Laboratory Phone(541) 485-7546
Laboratory LocationCascade Dermatology And Aesthetics4765 Village Plaza Loop Suite 100, Eugene, OR 97401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 9

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

Physician Assistant
4765 VILLAGE PLAZA LOOP, SUITE 100
EUGENE, OR 97401
Physician Assistant
4765 VILLAGE PLAZA LOOP, SUITE 100
EUGENE, OR 97401
Dermatology
4765 VILLAGE PLAZA LOOP, SUITE 100
EUGENE, OR 97401
Dentist
4765 VILLAGE PLAZA LOOP, S101
EUGENE, OR 97401
Optometrist
4765 VILLAGE PLAZA LOOP, SUITE 100
EUGENE, OR 97401
Dermatology
4765 VILLAGE PLAZA LOOP, SUITE 100
EUGENE, OR 97401
Optometrist
4765 VILLAGE PLAZA LOOP, STE 100
EUGENE, OR 97401
Optometrist (Vision Therapy)
4765 VILLAGE PLAZA LOOP, SUITE 100
EUGENE, OR 97401

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 Dermatology And Aesthetics's NPI number?

The NPI number for Cascade Dermatology And Aesthetics is 1730243379. It was assigned to this organization in the NPPES registry on December 20, 2006.

Where is Cascade Dermatology And Aesthetics located?

Cascade Dermatology And Aesthetics is located at 4765 Village Plaza Loop Suite 100, Eugene, OR 97401. The listed phone number is (541) 485-7546.

What is Cascade Dermatology And Aesthetics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Cascade Dermatology And Aesthetics hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 38D0626694) is associated with this NPI, valid through September 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cascade Dermatology And Aesthetics accept?

Health plans from Moda Health Plan, Inc. list Cascade Dermatology And Aesthetics as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cascade Dermatology And Aesthetics was last updated on June 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.