| Cascade Psychedelic Medicine | |
|
2027 Ne Flanders St Portland OR 97232-3372 | |
| (503) 453-2941 | |
| Not Available |
| Full Name | Cascade Psychedelic Medicine |
|---|---|
| Speciality | General Practice |
| Location | 2027 Ne Flanders St, Portland, Oregon |
| Authorized Official Name and Position | Seth Mehr (OWNER) |
| Authorized Official Contact | 5034532941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cascade Psychedelic Medicine 2743 Ne 14th Ave Portland OR 97212-3202 Ph: (503) 453-2941 | Cascade Psychedelic Medicine 2027 Ne Flanders St Portland OR 97232-3372 Ph: (503) 453-2941 |
| NPI Number | 1194399899 |
|---|---|
| Provider Enumeration Date | 05/17/2021 |
| Last Update Date | 09/16/2021 |
| Medicare PECOS PAC ID | 2163811472 |
|---|---|
| Medicare Enrollment ID | O20211108001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194399899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Seth T Mehr |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265510713 PECOS PAC ID: 4385609783 Enrollment ID: I20041124000712 |
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