▎ VIAL TRUST REPORTLast evaluated August 1, 2026

Cascades Hormone Optimization (formally Male TRT Center)

VIAL · CASCADES HORMONE OPTIMIZATION FORMALLY MALE TRT CENTER · CLINIC / MEDICAL PRACTICE

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TYPEHQSTATESClinic / Medical PracticeOmak, WA2

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Vial Score

55/100

Limited public record on file

Limited data: few signals on recordgetvial.com/report/cascades-hormone-optimization-formally-male-trt-center

Federal Screens

4 of 4

federal databases checked

Enforcement

CLEAR

federal actions

Certification

NONE

website certified

Clinicians

UNCONFIRMED

NPI registration

Vial Score over time

37 (Jun 5) → 55 (Aug 1) · 7 snapshots

Scoring method updated: a Vial change, not a provider change.

9 of 10 applicable signals confirmed

We confirmed 9 of 10 checks that apply to a clinic or medical practice. One we couldn't independently verify. Ask the provider directly.

WHAT WE CONFIRMED

WHAT WE COULDN'T VERIFY

Physician oversight not publicly disclosed
NPI not confirmed in federal registry
Pricing not publicly disclosed
LegitScript certification not confirmed

Where this score differs

How Cascades Hormone Optimization (formally Male TRT Center) compares with similar providers Vial tracks.

Before you pay, ask

Questions to bring to Cascades Hormone Optimization (formally Male TRT Center) before committing.

01Who is the supervising physician, and what are their credentials and state licenses?
02Which pharmacy fills your prescriptions, and is it independently accredited?
03What is the protocol for after-hours questions or adverse reactions?
04What is your refund or cancellation policy if I want to stop care?

SECTION III · SCORE DRIVERS0 POSITIVE · 4 GAP

WHAT WE CONFIRMED0

—

WHAT WE COULDN'T VERIFY4

Physician oversight not publicly disclosed

NPI not confirmed in federal registry

Pricing not publicly disclosed

LegitScript certification not confirmed

SECTION IV · WHAT WE CHECKED9 OF 10 APPLICABLE SIGNALS

We confirmed 9 of 10 checks that apply to a clinic or medical practice. One we couldn't independently verify. Ask the provider directly.

SIGNAL	SOURCE	STATE	DATE CHECKED
Regulatory Record
FDA Enforcement Record	FDA.gov ↗	CONFIRMED	2026-08-25
OIG Exclusion Status	OIG LEIE ↗	CONFIRMED	2026-08-24
DEA Enforcement Record	DEA Diversion ↗	CONFIRMED	2026-08-24
HIPAA Breach Record	HHS OCR Portal ↗	CONFIRMED	2026-08-20
Clinical Record
Physician Credentials	Public disclosure ↗	NOT FOUND	—
NPI Registration	CMS NPI Registry ↗	NOT FOUND	2026-08-20
Pharmacy Fulfillment
Verified Pharmacy Partner	Vial verification ↗	NOT FOUND	—
Commercial Record
Pricing Publicly Disclosed	Provider website ↗	NOT FOUND	—

Regulatory Record

FDA Enforcement Record

CONFIRMED

FDA.gov ↗

2026-08-25

OIG Exclusion Status

CONFIRMED

OIG LEIE ↗

2026-08-24

DEA Enforcement Record

CONFIRMED

DEA Diversion ↗

2026-08-24

HIPAA Breach Record

CONFIRMED

HHS OCR Portal ↗

2026-08-20

Clinical Record

Physician Credentials

NOT FOUND

Public disclosure ↗

—

NPI Registration

NOT FOUND

CMS NPI Registry ↗

2026-08-20

Pharmacy Fulfillment

Verified Pharmacy Partner

NOT FOUND

Vial verification ↗

—

Commercial Record

Pricing Publicly Disclosed

NOT FOUND

Provider website ↗

—

4 SIGNALS NOT APPLICABLE TO THIS PROVIDER TYPE

CLIA CertificationPCAB Compounding AccreditationFDA 503B Outsourcing RegistrationCAP Laboratory Accreditation

ConfirmedNot foundReview

WHAT THIS MEANS

This provider's federal NPI registration could not be confirmed. Ask for the prescribing physician's NPI directly.

No FDA enforcement actions are on record for this provider in the public openFDA database.

Some legitimate providers, particularly newer brands and small practices, have minimal public records. This isn't proof of risk, but it does mean trust has to be established directly with the provider rather than via federal databases.

REPORT HISTORY▸ Latest: Jul 29 2026 · Score decreased 5 pts → 55/100

Jun 05, 2026

Vial score established · 37/100

Jun 17, 2026

Score increased 33 pts → 70/100

Jun 29, 2026

Score decreased 1 pts → 69/100

Jul 08, 2026 · SCORING ENHANCEMENT

Vial scoring enhancement

Scores were recalculated under a refined model, in two steps the same day. Verified federal screens now weigh how recently they were checked, and a verified physician network earns additional credit when its clinicians are confirmed in the federal NPI registry. A named pharmacy partner is now weighed by whether Vial has independently verified that specific relationship, rather than by how the partner was described. Two inputs that reflected a naming convention or an unverifiable claim were removed from scoring. Missing information continues to lower how much Vial has verified, never the score itself. This is a Vial scoring change, not a change at the provider.

Jul 29, 2026

Score decreased 5 pts → 55/100

WHEN WE LAST CHECKED

FDA2026-08-25

OIG2026-08-24

DEA2026-08-24

HIPAA2026-08-20

NPI2026-08-20

PCAB2026-06-04

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A new enforcement action appears
Their Vial Score moves
Their pharmacy partner changes
Complaint patterns emerge

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