CASCADIA CLINIC LLC (NPI# 1902262835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902262835 |
Entity Type | Organization |
Organization Name | CASCADIA CLINIC LLC |
Other Organization Name | CASCADIA CHIROPRACTIC AND MASSAGE |
Practice Address |
1507 172nd St Ne Suite A Marysville WA 98271-5484 |
Practice Telephone | 3606527246 |
Practice Fax Number | 3606540611 |
Mailing Telephone | 3606527246 |
Mailing Fax Number | 3606540611 |
Enumeration Date | 2016-01-07 |
Last Update Date | 2016-01-07 |
Authorized Official Name | DR. MICHAEL T BRENEMAN (OWNER/DOCTOR OF CHIROPRACTIC) |
Authorized Official Telephone | 3606527246 |
Authorized Official Credential | D.C. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 111N00000X | Chiropractor | CH60402217 | WA | Chiropractic Providers |
N | 225700000X | Massage Therapist | MA00021076 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
N | 247200000X | Technician, Other | CX60618136 | WA | Technologists, Technicians & Other Technical Service Providers |
Y | 111N00000X | Chiropractor | CH00001293 | WA | Chiropractic Providers |
Other Name | Type Code |
---|---|
Cascadia Chiropractic and Massage | Doing Business As Name - Organization |
Street Address |
1507 172ND ST NE SUITE A |
City | MARYSVILLE |
State | WA |
Zip Code | 98271-5484 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083044283 | Shea M Breneman | Chiropractor | 1507 172nd St Ne, Marysville, WA 98271-5484 | 2013-11-25 |
1194360719 | Kauhi Kell Hoopii | Massage Therapist | 1507 172nd St Ne, Marysville, WA 98271-5484 | 2019-11-07 |
1164948683 | Larissa Gemmer-block | Massage Therapist | 1507 172nd St Ne, Marysville, WA 98271-5484 | 2017-08-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
Find all providers in zip 98271 |
Taxonomy Code | 111N00000X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518426634 | Wellspring Family Chiropractic LLC | Chiropractor | 232 N Main St # 1a, Marysville, OH 43040-1160 | 2019-03-18 |
1164828232 | Jean Yves Hurtubise | Chiropractor | 375 Taylor Ave, Marysville, OH 43040-9704 | 2014-11-17 |
1083044283 | Shea M Breneman | Chiropractor | 1507 172nd St Ne, Marysville, WA 98271-5484 | 2013-11-25 |
1356774426 | Cassie Ann Major | Chiropractor | 372 Riverwind Dr, Marysville, OH 43040-9369 | 2013-08-13 |
1245583301 | Timothy Chetan O'doyle | Chiropractor | 2730 172nd St Ne, Marysville, WA 98271-4420 | 2012-10-25 |
1922357722 | Aaron Joseph Statner | Chiropractor | 1059 State Ave Ste D, Marysville, WA 98270-4269 | 2012-09-07 |
1326312935 | Hardesty Chiropractic, Ps | Chiropractor | 6031 47th Ave Ne, Suite B, Marysville, WA 98270-5168 | 2012-02-29 |
1992093843 | Mclane & Associates, P.C. | Chiropractor | 1600 Gratiot Blvd., Ste 6, Marysville, MI 48040-1145 | 2011-07-13 |
1700173713 | Jennifer Marie Pavlov | Chiropractor | 2847 Gratiot Blvd, Marysville, MI 48040-1497 | 2011-06-29 |
1366746497 | Viking Chiropractic LLC | Chiropractor | 108 Huron Blvd, Marysville, MI 48040-1422 | 2011-01-04 |
Find all providers in MARYSVILLE |
City | MARYSVILLE |
Zip Code | 98271 |
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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.