OrganizationActive
Cascade Physicians, P.C.
NPI 1639210610 · Internal Medicine Physician · Tualatin, OR
Provider details
- NPI number
- 1639210610
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heino, Directors of Operations(858) 625-2990
- License
- MD13393 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
19250 Sw 65th Ave
110
Tualatin, OR 97062-7452
Phone: (503) 692-1205
Street-level locationGet directions
Mailing address
Po Box 86309
Portland, OR 97286-0309
Registry dates
- Enumerated
- 2007-02-10
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.