Individual
DR. ISABEL CASILLAS ROSALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1003 PROVIDENCE DR, SUITE 110, NEWBERG, OR 97132-7521
(503) 537-5900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD16873
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131347
# PERSONAL MEDICARE
OR
05
—
164936
—
OR
Enumeration date
10/25/2006
Last updated
07/31/2014
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