CASCADE FAMILY MEDICAL GROUP, P.S. (NPI# 1508820556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508820556 |
| Entity Type | Organization |
| Organization Name | CASCADE FAMILY MEDICAL GROUP, P.S. |
| Practice Address |
326 S Stillaguamish Ave Arlington WA 98223-1652 |
| Practice Telephone | 3604352144 |
| Practice Fax Number | 3604359601 |
| Mailing Telephone | 3604352144 |
| Mailing Fax Number | 3604359601 |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MARK E SPENCER (OWNER/PHYSICIAN) |
| Authorized Official Telephone | 3604352144 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
WA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR & INDUSTRIES | 0080350 | 01 |
| WA | 7040884 | 05 |
| Street Address |
326 S STILLAGUAMISH AVE |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427012475 | Sharil L Kallstrom | Massage Therapist | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2006-04-14 |
| 1588278154 | Derby Rousseau | Nurse Practitioner | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2020-09-01 |
| 1063971455 | Courtney Jankowski | Physician Assistant | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2019-03-15 |
| 1609353028 | Minh Ngoc Phi | Dentist | 326 S Stillaguamish Ave, Arlington, WA 98223 | 2018-07-27 |
| 1063931293 | Tiffanie P.o. Kimura | Dental Hygienist | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2017-09-19 |
| 1346625977 | Amberly Rae Halbert | Physician Assistant | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2015-07-24 |
| 1326434531 | Aaron Douglas Brinklow | Family Medicine | 326 S Stillaguamish Ave, Arlington, WA 98223 | 2015-04-14 |
| 1134544075 | Brian Christopher Mahoney | Dentist | 326 S Stillaguamish Ave, Chc of Snohomish County, Arlington, WA 98223-1652 | 2014-03-02 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1649602756 | Community Health Center of Snohomish County | Clinic/Center | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1194124685 | Paul Thompson Pa | Clinic/Center | 2000 E Lamar, Suite 155, Arlington, TX 76006 | 2014-08-20 |
| 1720343692 | Meddok Preventive Medicine Clinic | Clinic/Center | 1216 Florida Dr # 120, Arlington, TX 76015-2387 | 2012-07-06 |
| 1033425376 | Paula Jacqueline Clarke | Clinic/Center | 47 Melrose St, Arlington, MA 02474-8503 | 2010-08-24 |
| 1982933305 | Anjani Amin, Md, Pa | Clinic/Center | 1110 E Bardin Rd, Suite 100, Arlington, TX 76018-1212 | 2009-12-14 |
| 1629275003 | Arlington Family Practice, Inc. | Clinic/Center | 906 N. Main Street, Arlington, OH 45814-0319 | 2007-06-29 |
| 1588129167 | Clinic for Less Home Visit | Clinic/Center | 2000 E Lamar Blvd Ste 600, Arlington, TX 76006-7361 | 2019-02-07 |
| Find all providers in ARLINGTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.