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Individual

ERIN P CASSIDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
780 NW GARDEN VALLEY BLVD STE 310, ROSEBURG, OR 97471-2298
(541) 640-7625
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
200950147NP
OR
363LF0000X
Family Nurse Practitioner
Primary
200950147NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500613633
OR
Enumeration date
08/05/2007
Last updated
01/24/2020
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