Active NPI
Isabel Casillas Rosales, M.D.
- Psychiatry Physician
- Newberg, OR
National Provider Identifier
1205911807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD16873
- Practice address
- 1003 Providence Dr
Suite 110
Newberg, OR 97132-7521 - Phone
- (503) 537-5900
- NPI assigned
- Oct 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD16873 | OR | Primary |
Addresses
Primary practice location
1003 Providence Dr
Suite 110
Newberg, OR 97132-7521
Mailing address
PO Box 3158
Portland, OR 97208-3158
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 164936 | Medicaid | OR | |
| 131347 | Other | OR | # PERSONAL MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD16873 | OR | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406764800000",
"number": "1205911807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3158",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 PROVIDENCE DR",
"address_2": "SUITE 110",
"city": "NEWBERG",
"state": "OR",
"postal_code": "971327521",
"telephone_number": "503-537-5900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "ISABEL",
"middle_name": "CASILLAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-25",
"last_updated": "2014-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OR",
"license": "MD16873",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "164936",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "# PERSONAL MEDICARE",
"identifier": "131347",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newberg, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.