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Individual

CASEY LULAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
41805 STAYTON SCIO RD SE, STAYTON, OR 97383-9739
(503) 507-5356
(866) 225-2708
Mailing address
PO BOX 118, STAYTON, OR 97383-0118
(503) 507-5356

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201404020NP-PP
OR
363LF0000X
Family Nurse Practitioner
AP60451155
WA

Other

Enumeration date
03/10/2014
Last updated
05/31/2025
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