Individual
CASEY A OSBORNE-RODHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2577 NE COURTNEY DR STE 100, BEND, OR 97701-7752
(541) 383-3005
(541) 383-1883
Mailing address
PO BOX 4228, PORTLAND, OR 97208-4228
(541) 383-3005
(541) 383-1883
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00855
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00850179
MEDICARE RAILROAD
OR
05
—
500605534
—
OR
Enumeration date
10/13/2006
Last updated
10/07/2024
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