NPI 1669666061

Thelissa D Casley

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Portland, OR

Practice location

Address: 4818 NE 101st Ave, Portland, OR 97220-3319
Phone: (503) 758-4887

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Oregon →

Registry record

NPI: 1669666061
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Aug 2007
Record last updated: 29 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.