OrganizationActive
Cascade Park Sports Medicine & Rehab Clinic PLLC
NPI 1679641393 · Chiropractor · Vancouver, WA
Cascade Park Sports Medicine & Rehab Clinic PLLC is a Chiropractor organization in Vancouver, WA (NPI 1679641393).
Provider details
- NPI number
- 1679641393
- Entity type
- Organization
- Primary specialty
- ChiropractorChiropractic Providers
- Organization subpart
- No
- Authorized official
- Lucas Homer, Owner(360) 254-4040
- License
- CH00002108 (WA)
Specialties & taxonomies
Chiropractic Providers
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
12214 Se Mill Plain Blvd
Ste 101
Vancouver, WA 98684-6019
Phone: (360) 254-4040
Fax: (360) 253-7808
Street-level locationGet directions
Mailing address
12214 Se Mill Plain Blvd
Vancouver, WA 98684-6019
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2007-09-13
Frequently asked questions
- What is Cascade Park Sports Medicine & Rehab Clinic PLLC's NPI number?
- Cascade Park Sports Medicine & Rehab Clinic PLLC's National Provider Identifier (NPI) is 1679641393, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cascade Park Sports Medicine & Rehab Clinic PLLC?
- Cascade Park Sports Medicine & Rehab Clinic PLLC is classified in the NPPES registry as Chiropractor (Chiropractic Providers).
- Where is Cascade Park Sports Medicine & Rehab Clinic PLLC located?
- Cascade Park Sports Medicine & Rehab Clinic PLLC's practice location on file with NPPES is 12214 Se Mill Plain Blvd, Vancouver, WA 98684-6019.
- What is Cascade Park Sports Medicine & Rehab Clinic PLLC's phone number?
- The practice phone number listed in the NPPES registry for Cascade Park Sports Medicine & Rehab Clinic PLLC is (360) 254-4040.
- Who is the authorized official for Cascade Park Sports Medicine & Rehab Clinic PLLC?
- The authorized official listed on Cascade Park Sports Medicine & Rehab Clinic PLLC's NPPES record is Lucas Homer, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cascade Park Sports Medicine & Rehab Clinic PLLC's NPI active?
- Yes — Cascade Park Sports Medicine & Rehab Clinic PLLC's NPI (1679641393) is active in the NPPES registry as of the last update on 2007-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.