CASEY RYAN MAGIS-AGOSTA (NPI# 1790333136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790333136 |
Entity Type | Individual |
Full Name | CASEY RYAN MAGIS-AGOSTA |
Credential | CPNP-PC, APRN, MSN |
Practice Address |
8332 Se 13th Ave Portland OR 97202-7102 |
Mailing Address |
15278 Evans Valley Rd Ne Silverton OR 97381-9295 |
Practice Telephone | 5035959300 |
Mailing Telephone | 5038806216 |
Enumeration Date | 2019-08-28 |
Last Update Date | 2019-08-28 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
201907043NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
8332 SE 13TH AVE |
City | PORTLAND |
State | OR |
Zip Code | 97202-7102 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083686554 | Sellwood Medical Clinic | Internal Medicine | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-02-07 |
1992102917 | Merinda Sterner | Physician Assistant | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2014-11-20 |
1255745089 | Austin Elaine Karp-evans | Marriage & Family Therapist | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2014-06-19 |
1497044010 | Brittany Jones Petering | Pediatrics | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2011-04-05 |
1336467034 | Jeffrey Meyrowitz | Pediatrics | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2010-05-06 |
1407083215 | Kelly Sheridan Wright | Internal Medicine | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2009-06-18 |
1851466445 | Tara Ann Schwab | Pediatrics | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-11-21 |
1518902337 | Amanda Colleen Krbec | Nurse Practitioner | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-06-17 |
1689632457 | Leslie Diane Gregory | Physician Assistant | 8332 Se 13th Ave, Portland, OR 97202-7102 | 2006-05-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073143442 | Carewell LLC | Counselor | Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 | 2020-01-24 |
1588226765 | Melissa Lynn Hartley | Counselor | 1235 Se Division St. Suite 103, Portland, OR 97202 | 2019-07-08 |
1275192999 | Kimberly Rae Kilgore | Counselor | 5509 Se 22nd St #3a, Portland, OR 97202 | 2019-06-06 |
1639736069 | Kyra Steinhauer | Social Worker | 3145 Se Powell Blvd, Portland, OR 97202 | 2019-05-21 |
1134644321 | Bridgette Hennigsen | Social Worker | 3810 Se 11th Ave, Portland, OR 97202 | 2017-08-08 |
1558895789 | Lenore Cangeloso | Acupuncturist | 1235 Se Division Street, Suie 117, Portland, OR 97202 | 2017-04-14 |
1376099093 | Anna Christine Leclerc | Contractor | 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 | 2016-09-01 |
1144684663 | Catholic Charities | Case Management | 2740 Se Powell Blvd., Portland, OR 97202 | 2016-04-11 |
1881082097 | Zoomcare Dental, P.C. | Dentist | 3130 Se Division Street, Building 2, Portland, OR 97202 | 2014-12-23 |
1124424700 | Jessica Nash | Counselor | 6411 Se 17th Ave, Portland, OR 97202 | 2014-11-10 |
Find all providers in zip 97202 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477197705 | Kelsey-jo Audrey Moss | Nurse Practitioner | 704b Ne 62nd Ave, Portland, OR 97213-4351 | 2019-10-30 |
1063054716 | Lori P Balchik | Nurse Practitioner | 277 Buddy Ganem Dr Ste A, Portland, TX 78374-3202 | 2019-10-15 |
1295273399 | Shaudine Woody | Nurse Practitioner | 11790 Sw Barnes Rd Ste 140, Portland, OR 97225-5938 | 2017-02-08 |
1003239120 | Iva Juric | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239-3011 | 2014-01-24 |
1811249592 | Pollee Hruby Brookings | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd # Cdw7, Portland, OR 97239-3098 | 2012-10-05 |
1033470646 | Chelsea Doherty | Nurse Practitioner | 14480 Sw 90th Ave, Portland, OR 97224 | 2012-05-31 |
1265699508 | Mallory Johnson | Nurse Practitioner | 11790 Sw Barnes Rd. Blg A, Ste 140, Portland, OR 97225 | 2008-05-22 |
1053320804 | Karen Elizabeth Caines | Nurse Practitioner | 96 Falmouth St, Portland, ME 04104-9300 | 2006-08-07 |
1649209982 | Joanne M Perry | Nurse Practitioner | 901 Washington Ave Ste 100, Portland, ME 04103-2842 | 2006-06-30 |
1497377220 | Erika Lynn Rodakowski | Nurse Practitioner | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2020-05-14 |
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.