Individual
MARIE CASSELBERRY AGNEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, DNP.
Contact information
Practice address
929 SW SIMPSON AVE STE 300, BEND, OR 97702-3599
(541) 389-7741
(541) 278-8376
Mailing address
19075 NW TANASBOURNE DR., HILLSBORO, OR 97214
(503) 941-3753
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201250123NP
OR
363LF0000X
Family Nurse Practitioner
201250123NP
OR
Other
Enumeration date
08/16/2011
Last updated
12/28/2018
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