Search › Oregon › 101YP2500X
Carl Casanova, MS,
NPI 1255178844 · on the registry since 2024 · sole proprietor
Practice
- Address
- 11650 Sw 67th Ave Ste 230
Portland, OR 97223 - Phone
- (503) 422-1143
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-07-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon