Individual
CASEY ROMINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16232 SW LOWER BRIDGE WAY, TERREBONNE, OR 97760-9678
(541) 316-0206
Mailing address
16232 SW LOWER BRIDGE WAY, TERREBONNE, OR 97760-9678
(541) 410-8713
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C6145
OR
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500756496
—
OR
Enumeration date
04/27/2018
Last updated
02/10/2023
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