Active NPIIndividual providerSole proprietor

Carl Casanova I, MS

Counselor, Professional in Portland, Oregon

NPI Number1255178844
Practice location
11650 SW 67TH Ave Ste 230, Portland, OR 97223-8590
Fax
—
Last updated
July 10, 2024

Carl Casanova I, MS is a Counselor, Professional based in Portland, OR. Carl Casanova I, MS holds the professional credentials of MS. The NPI number for Carl Casanova I, MS is 1255178844. The current practice location address is 11650 SW 67TH Ave Ste 230, Portland, OR 97223-8590 and the office can be reached by phone at 503-422-1143. The NPI was assigned on July 10, 2024 and the record was last updated in NPPES on July 10, 2024.

●Provider Profile Details

NPI Number
1255178844
Provider Name
Carl Casanova
Credential
MS
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Enumeration Date
July 10, 2024
Last Update Date
July 10, 2024
Certification Date
July 10, 2024
NPI Status
Active

◉Business Practice Location Address

Address
11650 SW 67TH Ave Ste 230
Portland, OR 97223-8590
State
Oregon
ZIP
97223-8590
Country
US
Phone Number
503-422-1143

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✉Business Mailing Address

Address
11650 SW 67TH Ave Ste 230
Tigard, OR 97223-8590
City
Tigard
State
OR
ZIP
97223-8590
Phone Number
503-422-1143

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Counselor, Professional101YP2500XYes—OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Carl Casanova I, MS?

The NPI number of Carl Casanova I, MS is 1255178844. It was assigned on July 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Carl Casanova I, MS?

Carl Casanova I, MS is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).

Where does Carl Casanova I, MS practice?

The practice location is 11650 SW 67TH Ave Ste 230, Portland, OR 97223-8590. The office can be reached at 503-422-1143 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1255178844 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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