MS. Thelissa D Casley

NPI #1669666061 in Portland, Oregon

Provider Information

NPI Number
1669666061
Entity Type
Individual
Name
MS. Thelissa D Casley
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date
Aug 29, 2007
Last Updated
Aug 29, 2007

Practice Location

Address
4818 NE 101ST AVE
State
Oregon
ZIP Code
97220-3319
Phone
(503) 758-4887

Specialties & Taxonomy Codes

Specialty
Residential Treatment Facility, Emotionally Disturbed Children

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