Welcome to Cascade Outpatient Spine Center (COSC). We are a single specialty spine and interventional pain facility, dedicated to providing an outstanding outpatient experience for patients in the Pacific Northwest. Cascade Outpatient Spine Center’s sole focus is the ambulatory treatment of spinal disorders. We strive to provide the highest quality of minimally invasive spine surgery and interventional pain management in a cost effective patient-centric manner in our state-of-the-art facility. We are licensed by the Washington State Department of Health and accredited by the American Association of Ambulatory Healthcare (AAAHC) and Medicare certification.