Omori, Casey

Omori, Casey is an individual health care provider with primary practice located at 14278 Sw Allen Blvd , Beaverton OR 97005-4405. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Omori, Casey can be contacted via phone (503) 305-6262.

Contact Information

Primary practice address
14278 Sw Allen Blvd Beaverton OR 97005-4405
Phone: (503) 305-6262
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 214457 Oregon

Profile Details

NPI number 1336762467
LBN Legal business name Omori, Casey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2020
Last updated Mar 24th, 2023 - about 3 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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