MS. THELISSA CASLEY

Residential Treatment Facility, Emotionally Disturbed Children

Active Individual
NPI: 1669666061

Practice Address

4818 NE 101ST AVE
Portland, OR 97220

Phone: (503) 758-4887

Specialties

Specialty Code Primary License
Residential Treatment Facility, Emotionally Disturbed Children 322D00000X Yes -

Frequently Asked Questions

NPI 1669666061 is the National Provider Identifier for MS. THELISSA CASLEY, a Residential Treatment Facility, Emotionally Disturbed Children provider located in Portland, OR. This NPI was enumerated on August 29, 2007.
MS. THELISSA CASLEY practices at 4818 NE 101ST AVE, Portland, OR 97220.

Quick Facts

NPI
1669666061
Type
Individual
Enumerated
Aug 29, 2007
Last Updated
Aug 29, 2007

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