Casey Parks

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

2595 Christie Drive
Lake Oswego, OR 97034

Phone

(503) 517-3950

NPI assigned

Jan 13, 2020

Last updated

Jan 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New Avenues for Youth

  • Case Manager/Care Coordinator
  • Lake Oswego, OR
  • NPI 1740844539
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1558901009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 SW COLUMBIA ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972013316",
            "telephone_number": "503-517-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2595 CHRISTIE DRIVE",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "97034",
            "telephone_number": "503-517-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKS",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-13",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cparks@newavenues.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "2595 Christie Drive",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Stephanie Pinder Paris, LMT
• In Pyo Peter Park, PHARM.D
• Julia Unok Park, LAC, MSOM, DIPLOM
• Phuong Minh Parker, CCC-SLP
• Scott Parker, MS, ATC
• Amira Parrott
• Nicholas Montgomery Parsons
• Hanna Passwaters, RN
• Tejash B Patel
• Dominic Patrick Patillo, MD

• Case Manager/Care Coordinator in Lake Oswego, OR
• Providers in Lake Oswego, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.