Casey, Colleen Marie

Casey, Colleen Marie is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Division Of Internal Medicine, L475, Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Casey, Colleen Marie can be contacted via phone (503) 494-8562.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Division Of Internal Medicine, L475 Portland OR 97239-3011
Phone: (503) 494-8562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201050070NP Oregon
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 200770014CNS Oregon

Profile Details

NPI number 1154642700
LBN Legal business name Casey, Colleen Marie
Credentials PHD, ANP, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Dec 3rd, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1154642700 NPPES
Oregon Other ANP736 STATE OF OREGON WORKERS' COMPENSATION NUMBER

Popular Providers