Casey, Stephanie Robin

Casey, Stephanie Robin is an individual health care provider with primary practice located at 10803 Se Cherry Blossom Drive , Portland OR 97216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Casey, Stephanie Robin can be contacted via phone (503) 261-7200.

Contact Information

Primary practice address
10803 Se Cherry Blossom Drive Portland OR 97216
Phone: (503) 261-7200
Fax: (503) 261-7249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO162682 Oregon

Profile Details

NPI number 1023399367
LBN Legal business name Casey, Stephanie Robin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2011
Last updated Jun 29th, 2021 - about 4 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 1023399367 NPPES
Oregon MEDICAID 276263
Oregon Other DO162682

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