Caspers, Corlyn Marie

Caspers, Corlyn Marie is an individual health care provider with primary practice located at 8495 Crater Lake Hwy Va Southern Oregon, White City OR 97503-3011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Caspers, Corlyn Marie can be contacted via phone (541) 826-2111.

Contact Information

Primary practice address
8495 Crater Lake Hwy Va Southern Oregon White City OR 97503-3011
Phone: (541) 826-2111
Fax: (541) 830-7550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 086000066N3 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 086000066N3ANP-PP Oregon

Profile Details

NPI number 1780662296
LBN Legal business name Caspers, Corlyn Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jun 10th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1780662296 NPPES
Oregon MEDICAID 067355

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