| Cascade Aids Project | |
|
15 N Morris St Portland OR 97227-1541 | |
| (503) 445-7699 | |
| (503) 802-0199 |
| Full Name | Cascade Aids Project |
|---|---|
| Speciality | Clinic/Center |
| Location | 15 N Morris St, Portland, Oregon |
| Authorized Official Name and Position | Jessica Loraine Cole (SNR DIR COMPLIANCE & RISK MANAGEMEN) |
| Authorized Official Contact | 5032783813 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Aids Project 520 Nw Davis St Ste 215 Portland OR 97209-3620 Ph: (503) 223-5907 | Cascade Aids Project 15 N Morris St Portland OR 97227-1541 Ph: (503) 445-7699 |
| NPI Number | 1336902394 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 8729363502 |
|---|---|
| Medicare Enrollment ID | O20241009000602 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336902394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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