Casley, Thelissa D

Casley, Thelissa D is an sole proprietor health care provider with primary practice located at 4818 Ne 101St Ave , Portland OR 97220-3319. She recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as her primary health care specialty. Casley, Thelissa D can be contacted via phone (503) 758-4887.

Contact Information

Primary practice address
4818 Ne 101St Ave Portland OR 97220-3319
Phone: (503) 758-4887
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Oregon

Profile Details

NPI number 1669666061
LBN Legal business name Casley, Thelissa D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2007
Last updated Aug 29th, 2007 - about 18 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.

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