Provider Demographics
NPI:1629886890
Name:CASCADE ANESTHESIA SERVICES PC
Entity type:Organization
Organization Name:CASCADE ANESTHESIA SERVICES PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:APRN
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MITZEL
Authorized Official - Suffix:
Authorized Official - Credentials:CRNA, PMHNP
Authorized Official - Phone:513-314-6831
Mailing Address - Street 1:145 SW 6TH ST
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:OR
Mailing Address - Zip Code:97756-2106
Mailing Address - Country:US
Mailing Address - Phone:513-314-6831
Mailing Address - Fax:
Practice Address - Street 1:145 SW 6TH ST
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:OR
Practice Address - Zip Code:97756-2106
Practice Address - Country:US
Practice Address - Phone:513-314-6831
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CASCADE ANESTHESIA SERVICES PC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-12-20
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty