Individual
JEROME DAVID CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1043
(503) 285-9321
Mailing address
3550 N INTERSTATE AVE., PORTLAND, OR 97227-1043
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00332
OR
Other
Enumeration date
08/19/2006
Last updated
07/10/2007
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