Individual
MS. DEIDRE SUE MCCASLIN-NOYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
808 SW ALDER ST, STE. #300, PORTLAND, OR 97205-3133
(503) 226-2203
(503) 223-4231
Mailing address
808 SW ALDER ST, SUITE #300, PORTLAND, OR 97205-3133
(503) 226-2203
(503) 223-4231
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
099003082LPN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099003082LPN
STATE OF OREGON NURSING LICENSE
OR
Enumeration date
07/16/2010
Last updated
07/16/2010
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