DR. CASEY SHILLAM


Address: 5000 N Willamette Blvd # 153, Portland, OR 97203-5798
Phone: 5039438143

DR. CASEY SHILLAM (NPI# 1598253510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598253510
Entity Type Individual
Full Name DR. CASEY SHILLAM
Credential RN
Practice Address 5000 N Willamette Blvd # 153
Portland
OR 97203-5798
Practice Telephone 5039438143
Mailing Telephone 5039438143
Enumeration Date 2018-04-25
Last Update Date 2018-04-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0600X Registered Nurse
Specialization: Gerontology
200242028 OR Nursing Service Providers

Office Location

Street Address 5000 N WILLAMETTE BLVD # 153
City PORTLAND
State OR
Zip Code 97203-5798

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952923757 Justin Cummings Meals 10105 N. Oswego Ave, Portland, OR 97203 2020-05-14
1407335045 Gage Solis Student in an Organized Health Care Education/Training Program 8425 N. Lombard St, Portland, OR 97203 2018-08-13
1497103493 Ruby Diane Ciarlante Community Health Worker 7803 N Portsmouth Ave, Portland, OR 97203 2016-05-31
1992139620 Hannah Clare Speech-Language Pathologist 7126 N Amherst St, Portland, OR 97203 2013-08-29
1043656713 Heather Ranae Mcintosh Social Worker 7323 N Burlington Ave, Portland, OR 97203 2013-05-21
1275879363 Matthew Scott Bennett Pharmacist 6850 N. Lombard, Portland, OR 97203 2012-12-18
1144594094 Candice Juliet Thomas Pharmacist 9000 N. Lombard St, Portland, OR 97203 2012-02-23
1093013211 Aarisa Elysianne Smith Mechanotherapist 8438 N Lombard St, Ste 7, Portland, OR 97203 2011-03-11
1700103546 Lisa Catherine Davis Acupuncturist 1614 Ne Alberta Street, Portland, OR 97203 2010-05-03
1427298579 Donald Marvin Lorenzen Denturist 8530 N. Ivanhoe, Portland, OR 97203 2009-03-03
Find all providers in zip 97203

Taxonomy Information

Taxonomy Code 163WG0600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114459088 Genevieve Kathleen Shields Registered Nurse 5451 Se Belmont, Suite 100, Portland, OR 97215 2017-03-30
1902155823 Lisa Jill Miller Registered Nurse 4540 Ne Glisan, Portland, OR 97213 2012-09-06
1134477839 Megan Joanne Keller Registered Nurse 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 2012-08-28
1255335295 Brenda R Annotti Registered Nurse 3550 N Interstate Ave, Portland, OR 97227 2005-06-08
1033758198 Theresa Renee Seifer Registered Nurse 17727 E Burnside St, Portland, OR 97233-4803 2020-01-06
1336795228 Kathy Elaine Torres Registered Nurse 420 Ne Mason St, Portland, OR 97211-3479 2019-08-15
1316505381 Amy Katherine Owotor Registered Nurse 4400 Ne Halsey St Ste 200, Portland, OR 97213-1545 2019-06-04
1790343952 Penni Kleber Registered Nurse 4540 Ne Glisan St, Portland, OR 97213-2333 2019-06-03
1750894168 Scott E Stewart Registered Nurse 4540 Ne Glisan St, Portland, OR 97213-2333 2017-11-07
1770002792 Elizabeth C Sukowatey Registered Nurse 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 2017-09-11
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97203

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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