Individual
JASON RICHARD CASELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, PT
Contact information
Practice address
16100 NW CORNELL RD STE 110, BEAVERTON, OR 97006-7369
(971) 245-6663
(971) 245-6664
Mailing address
2111 NE SHEFFIELD AVE, BEAVERTON, OR 97006-7493
(480) 612-4854
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64320
OR
Other
Enumeration date
12/08/2021
Last updated
04/22/2024
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