person
Dr. Casey Shillam, RN
Gerontology Registered Nurse in Portland, Oregon
NPI 1598253510

Casey Shillam is a Gerontology Registered Nurse based in Portland, OR and is specialized in Gerontology. Casey Shillam practices in Portland, OR and has the professional credentials of RN. The NPI Number for Casey Shillam is 1598253510 and holds a License No. 200242028 (Oregon).

The current practice location address for Casey Shillam is 5000 N Willamette Blvd # 153, Portland, OR and can be reached out via phone at 503-943-8143.

Location: 5000 N Willamette Blvd # 153, Portland, OR, 97203-5798
person
Provider Profile Details
NPI Number
1598253510
Provider Name
Casey Shillam
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
5000 N Willamette Blvd # 153, Portland, OR, 97203-5798
Phone Number
503-943-8143
Fax Number
Provider Enumeration Date
04/25/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5000 N Willamette Blvd # 153
City
State
Zip
97203-5798
Phone Number
503-943-8143
Fax Number
person
Provider Business Mailing Address Details
Address
5000 N Willamette Blvd # 153
City
State
Zip
97203-5798
Phone Number
503-943-8143
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gerontology
Taxonomy
License No.
200242028 (Oregon)
Definition
Definition to come...
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