Casondra Lee Hults

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Estacada, OR

NPI 1588046759 · NPPES record last updated Jun 24, 2015

Key facts

NPI
1588046759
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
27268 S Horner Rd
Estacada, OR 97023-9458
Phone
(503) 867-5581
NPI assigned
Jun 24, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

27268 S Horner Rd
Estacada, OR 97023-9458

Mailing address

27268 S Horner Rd
Estacada, OR 97023-9458
Phone (503) 867-5581

Other names

  • Casondra Lee Richey Former name

Other providers in Estacada, OR

All providers in Estacada, OR · Student in an Organized Health Care Education/Training Program in Oregon

Sources for this page

Verify at the official NPI Registry.