Organization
DR. MARY CASELLI PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY F CASELLI N.D. (PHYSICIAN/OWNER)
(503) 335-8983
Entity
Organization
Contact information
Practice address
2119 NE HALSEY ST, PORTLAND, OR 97232-1522
(503) 335-8983
(503) 517-8590
Mailing address
2025 NE 24TH AVE, PORTLAND, OR 97212-4722
(503) 335-8983
(503) 517-8590
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
0627
OR
Other
Enumeration date
06/04/2010
Last updated
06/04/2010
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