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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WG0600X |
Registered Nurse Specialization: Gerontology |
200242028 | OR | Nursing Service Providers |
Street Address |
5000 N WILLAMETTE BLVD # 153 |
City | PORTLAND |
State | OR |
Zip Code | 97203-5798 |
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 Code | 163WG0600X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Gerontology |
Definition to come... |
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 |
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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.