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1790333136
CASEY RYAN MAGIS-AGOSTA
PORTLAND, OR
NPI
1790333136
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 201907043NP-PP)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
CASEY RYAN MAGIS-AGOSTA CPNP-PC, APRN, MSN
8332 SE 13TH AVE
PORTLAND, OR 97202-7102
Phone number: 503-595-9300
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Mailing Address
CASEY RYAN MAGIS-AGOSTA CPNP-PC, APRN, MSN
15278 EVANS VALLEY RD NE
SILVERTON, OR 97381-9295
Phone number: 503-880-6216
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