Individual
MS. CORLYN MARIE CASPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8495 CRATER LAKE HWY, VA SOUTHERN OREGON, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-7550
Mailing address
8495 CRATER LAKE HWY, VA SOUTHERN OREGON, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-7550
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
086000066N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
086000066N3ANP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067355
—
OR
Enumeration date
01/04/2006
Last updated
06/10/2015
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