Individual
CASEY B STRICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
(773) 554-4755
Mailing address
2730 SW MOODY AVE, PORTLAND, OR 97201-5042
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA206291
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/20/2019
Last updated
10/14/2021
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