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Individual

CHENELLE D MCCASKILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
2570 NW EDENBOWER BLVD, STE 100, ROSEBURG, OR 97471
(541) 957-1111
(541) 229-3335
Mailing address
2570 NW EDENBOWER BLVD, STE 100, ROSEBURG, OR 97471
(541) 957-1111
(541) 229-3335

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA01103
OR
363AS0400X
Surgical Physician Assistant
Primary
PA1103
OR

Other

Enumeration date
06/23/2005
Last updated
06/10/2015
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