OrganizationActive
Cascade Park Sports Medicine & Rehab Clinic PLLC
NPI 1679641393 · Chiropractor · Vancouver, WA
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.