| Cascade Family Medicine, P.s. | |
|
406 Se 131st Ave Suite 203 B Vancouver WA 98683-4004 | |
| (360) 254-4402 | |
| (360) 892-9241 |
| Full Name | Cascade Family Medicine, P.s. |
|---|---|
| Speciality | Family Medicine |
| Location | 406 Se 131st Ave, Vancouver, Washington |
| Authorized Official Name and Position | Lawrence Edward Foltz (PRESIDENT) |
| Authorized Official Contact | 3602544402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Family Medicine, P.s. 406 Se 131st Ave Suite 203 Vancouver WA 98683-4004 Ph: (360) 254-4402 | Cascade Family Medicine, P.s. 406 Se 131st Ave Suite 203 B Vancouver WA 98683-4004 Ph: (360) 254-4402 |
| NPI Number | 1063622355 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5890851943 |
|---|---|
| Medicare Enrollment ID | O20090225000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063622355 | NPI | - | NPPES |
| 7051428 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Washington) | Primary |
| Provider Name | Lawrence E Foltz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952376196 PECOS PAC ID: 1951202225 Enrollment ID: I20040119000735 |
| Provider Name | Sherilyn Marie Foltz Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013114586 PECOS PAC ID: 7416013198 Enrollment ID: I20090304000537 |
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