Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Casey Omori

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1336762467

Casey Omori is a Physician Assistant in Beaverton, Oregon. Qualified in 2022, 4 years ago. Practices with Peacehealth Networks on Demand LLC, a 201-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
4
Licensed in
OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

14278 SW Allen Blvd
Beaverton, OR 97005-4405
Phone: (503) 305-6262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 222 Se 8th Ave Ste 536, Hillsboro, OR 97123-4218 — (503) 352-7272

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 214457 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1336762467
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2020
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023
Mailing address14278 Sw Allen Blvd, Beaverton, OR 97005-4405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Peacehealth Networks On Demand Llc — 201 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Beaverton