MS. Thelissa D Casley
MS. Thelissa D Casley is an Emotionally Disturbed Childrens' Residential Treatment Facility in Portland, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2007
Practice location Address checks out
4818 NE 101st AvePortland, OR 97220-3319
Phone: (503) 758-4887
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Specialties & licences
| Emotionally Disturbed Childrens' Residential Treatment Facility (primary) | Taxonomy 322D00000X (OR) |
|---|
Record details
| NPI number | 1669666061 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | August 29, 2007 |
| Last updated in NPPES | August 29, 2007 |
| Mailing address | 4818 Ne 101st Ave, Portland, OR 97220-3319 |
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