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Thelissa Casley
NPI 1669666061 · on the registry since 2007 · sole proprietor
Practice
- Address
- 4818 Ne 101st Ave
Portland, OR 97220 - Phone
- (503) 758-4887
Registry record
- Primary taxonomy
- 322D00000X
322D00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-08-29
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