Provider Demographics
NPI:1871608232
Name:CASCADE HAND THERAPY INC
Entity type:Organization
Organization Name:CASCADE HAND THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DYER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-330-0215
Mailing Address - Street 1:2100 NE NEFF RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97701-6213
Mailing Address - Country:US
Mailing Address - Phone:541-330-0215
Mailing Address - Fax:541-330-0221
Practice Address - Street 1:2100 NE NEFF RD
Practice Address - Street 2:SUITE B
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97701-6213
Practice Address - Country:US
Practice Address - Phone:541-330-0215
Practice Address - Fax:541-330-0221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-19
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10001124225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORR112843Medicare PIN