CASEY RYAN MAGIS-AGOSTA


Address: 8332 Se 13th Ave, Portland, OR 97202-7102
Phone: 5035959300

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 8332 SE 13TH AVE
City PORTLAND
State OR
Zip Code 97202-7102

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City PORTLAND
Zip Code 97202

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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