Cassandra Nicole Coetzee, MBBS
Student in an Organized Health Care Education/Training Program in Portland, OR. Individual provider (NPI-1).
NPI number1942021175
StatusActive
Last updated in NPPESApr 24, 2025
Details
- NPI
- 1942021175
- Entity type
- Individual (NPI-1)
- Name
- Cassandra Nicole Coetzee
- Credential
- MBBS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2024
- Last updated
- Apr 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Other names
- Cassandra Nicole Farmer (Former Name)
Practice location
Shriners Hospitals For Children Portland3101 Sw Sam Jackson Park Road
Portland, OR 97239-3009
Phone 503-221-4324 · Fax 503-221-3490
Mailing address
Shriners Hospitals For Children Portland3101 Sw Sam Jackson Park Road
Portland, OR 97239-3009
Phone 503-221-4324 · Fax 503-221-3490
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