Stephanie Robin Casey
Family Medicine in Portland, OR. Individual provider (NPI-1).
NPI number1023399367
StatusActive
Last updated in NPPESJun 29, 2021
Details
- NPI
- 1023399367
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Robin Casey
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 31, 2011
- Certification date
- Jun 29, 2021
- Last updated
- Jun 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | DO162682 | OR | Yes |
Practice location
10803 Se Cherry Blossom DrivePortland, OR 97216
Phone 503-261-7200 · Fax 503-261-7249
Mailing address
10803 Se Cherry Blossom DrivePortland, OR 97216
Phone 503-261-7200 · Fax 503-261-7249
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