Cascade Family Practice
Cascade Family Practice has been providing care to the greater Portland area for over 30 years. Cascade Family Practice is able to provide all your basic medical care.
Office Hours:
Monday | 8–11 AM, 1–5 PM |
Tuesday | 8–11 AM, 1–5 PM |
Wednesday | 8–11 AM, 1–5 PM |
Thursday | 8–11 AM, 1–5 PM |
Friday | 8–11 AM |
Saturday | Closed |
Sunday | Closed |
about us

Julie Leffler MSN, ARNP, FNP-BC
- Julie Leffler is board Certified by American Nurses Credentialing Center as Family Nurse Practitioner. She received her Bachelor of Nursing Science at Linfield University school of nursing in 1999, has been practicing holistic nursing in acute care settings for the last 20 years in the Portland area. She received her Master in Nursing Science with a focus in Family Medicine at Simmons University in 2020. Julie focuses on holistic health care that includes a mindful based trauma informed care in family medicine. In Julie’s free time she enjoys hiking, kayaking and riding her bicycle with her husband and two daughters.
Frequently ask Questions Office Policies
For annual exams or treating chronic medical issues, it is recommended that your previous medical records be available for our physician or nurse practitioner’s review. Knowing your complete medical history allows us to more readily identify the source of your medical problem and develop the appropriate treatment plan for you.
Your Rights as a Patient:
At all times you have the right to be treated with respect and consideration.
You have the right to review the records pertaining to your medical care and to have the information explained or interpreted as necessary, except when restricted by law.
You have the right for your medical records and communications to be treated as confidential so as to protect your privacy.
Your physician or nurse practitioner should help you understand any information and options concerning the diagnosis and treatment of your medical condition. You should also be informed of any risks involved before giving consent for such treatment.
You have the right to refuse treatment or to discontinue treatment within legal boundaries. You will be informed of possible consequences should you refuse treatment.
You have the right to an explanation of your bill regardless of insurance status.
You have the right to make a formal complaint at any time you feel these rights have been neglected.
You have the right to have an advance directive concerning treatment or designation of a surrogate decision maker.
Your Responsibilities as a Patient
You are responsible to provide us with accurate and current information regarding your past and present illnesses/complaints, hospitalizations, and medications, as well as your address, telephone numbers, and insurance information.
You are responsible to inform your physician or nurse practitioner if you do not understand the recommended treatment and to notify him/her of any changes in your condition.
You are responsible to follow physician’s instructions and to keep appointments as advised by your physician.
You are responsible to fulfill your financial obligations.
You are responsible to be considerate of other patients in the clinic and to treat our staff with courtesy and respect.
What We Provide
Here at Cascade Family Practice we are able to provide all of your basic medical care including: Complete Physicals, Well Baby Care, PAP Smears, Estrogen Implants, Bone Density, X-rays, Vasectomies, Holter Monitor, ECG, Body Fat Analysis, Basal Metabolic Rate and various lab tests. We also offer Osteopathic Manipulative Treatment for those with muscle and skeletal problems.
At Cascade Family Practice we do not refill medications over the phone. We will give you medication refills to last 3 to 6 months, at the time of your appointment, depending on your diagnosis. To provide the best medical care possible, we need to monitor your condition.
A nurse practitioner (NP) is a registered nurse with advanced academic and clinical experience, which enables him or her to diagnose and manage most common and many chronic illnesses, either independently or as part of a health care team. A nurse practitioner provides some care previously offered only by physicians and in most states has the ability to prescribe medications. Working in collaboration with a physician, a nurse practitioner provides high-quality, cost-effective and individualized care for the lifespan of patient’s special needs.
NPs focus largely on health maintenance, disease prevention, counseling and patient education in a wide variety of settings. With a strong emphasis on primary care, nurse practitioners are employed within several specialties, including neonatology, nurse-midwifery, pediatrics, school health, family and adult health, women’s health, mental health, home care, geriatrics and acute care.