Thelissa D Casley in Portland - Residential Treatment Facility, Emotionally Disturbed Children
Thelissa D Casley - NPI 1669666061
Thelissa D Casley is a Residential Treatment Facility, Emotionally Disturbed Children in Portland, Oregon. Thelissa D Casley practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Thelissa D Casley is 1669666061. The last update date is 2007-08-29.
Thelissa D Casley's current location address is 4818 Ne 101st Ave, Portland, Oregon. You can contact this provider via phone number 5037584887. The mailing address for Thelissa D Casley is 4818 Ne 101st Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thelissa D Casley |
|---|---|
| Address | 4818 Ne 101st Ave, Portland, Oregon |
| Phone Number | 5037584887 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669666061 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2007-08-29 |
Provider Mailing Address Detail
| Address | 4818 Ne 101st Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972203319 |
| Phone Number | 5037584887 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Emotionally Disturbed Children |
|---|---|
| Taxonomy | 322D00000X |
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Definition: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. |
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What is the unique 10-digit identification code issued to Thelissa D Casley by the Centers for Medicare & Medicaid Services?
The Thelissa D Casley has been assigned the NPI (National Provider Identifier) 1669666061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Thelissa D Casley?
The Thelissa D Casley is situated at 4818 Ne 101St Ave, in the city of Portland, state of OR, with the zip code 972203319.
What is Thelissa D Casley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Thelissa D Casley is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy classification code for this specialized field is 322D00000X.
On what date did the Thelissa D Casley receive its 1669666061 assignment from the Centers for Medicare & Medicaid Services?
The Thelissa D Casley was assigned its 1669666061 by the Centers for Medicare & Medicaid Services on 2007-08-29.
When was the information regarding Thelissa D Casley, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Thelissa D Casley, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-08-29.
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