Individual
DR. DANIEL E. CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, GH 249 PSYCHIATRY RESEARCH, OHSU, PORTLAND, OR 97239-3011
(503) 418-1291
(503) 418-1294
Mailing address
3181 SW SAM JACKSON PARK RD, GH 249 PSYCHIATRY RESEARCH, OHSU, PORTLAND, OR 97239-3098
(503) 418-1291
(503) 418-1294
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
MD10236
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD10236
OREGON BOARD OF MEDICAL EXAMINERS
OR
Enumeration date
03/11/2009
Last updated
03/11/2009
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