| Cascade Nutrition Consulting, Llc | |
|
384 Sw Upper Terrace Dr Suite 213 Bend OR 97702-1887 | |
| (360) 265-4754 | |
| (541) 385-4987 |
| Full Name | Cascade Nutrition Consulting, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 384 Sw Upper Terrace Dr, Bend, Oregon |
| Authorized Official Name and Position | Andrea Baumann (REGISTERED DIETITIAN / OWNER) |
| Authorized Official Contact | 3602654754 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Nutrition Consulting, Llc 2660 Ne Highway 20 Suite 610-26 Bend OR 97701-6402 Ph: (360) 265-4754 | Cascade Nutrition Consulting, Llc 384 Sw Upper Terrace Dr Suite 213 Bend OR 97702-1887 Ph: (360) 265-4754 |
| NPI Number | 1790221489 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 01/18/2017 |
| Medicare PECOS PAC ID | 0941584320 |
|---|---|
| Medicare Enrollment ID | O20170302001761 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790221489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 000708 (Oregon) | Primary |
| Provider Name | Andrea S Baumann |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1801066139 PECOS PAC ID: 8921184797 Enrollment ID: I20080320000122 |
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