TYLER CASEY (NPI# 1548733017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548733017 |
| Entity Type | Individual |
| Full Name | TYLER CASEY |
| Practice Address |
10163 Se Sunnyside Rd Ste 490 Clackamas OR 97015-5720 |
| Mailing Address |
2119 Ne 14th Ave Apt 4 Portland OR 97212-4359 |
| Practice Telephone | 5035137406 |
| Mailing Telephone | 8593214707 |
| Enumeration Date | 2019-01-08 |
| Last Update Date | 2019-01-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P1300X |
Pharmacist Specialization: Psychiatric |
0016014 | OR | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750368817 | Tyler L Casey | Internal Medicine | 6000 University Ave, Suite 201, West Des Moines, IA 50266-8203 | 2005-12-29 |
| Street Address |
10163 SE SUNNYSIDE RD STE 490 |
| City | CLACKAMAS |
| State | OR |
| Zip Code | 97015-5720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020767 | Susan Seely Hook | Marriage & Family Therapist | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-16 |
| 1992061436 | Bob Wynn | Psychiatry & Neurology | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2012-04-10 |
| 1528385812 | Katelyn Snyder | Counselor | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2010-04-26 |
| 1225229396 | Han-chun Liang | Psychiatry & Neurology | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2007-08-05 |
| 1467534909 | Darian Vincent Minkunas | Psychiatry & Neurology | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-10-20 |
| 1710082979 | Timothy Kevin Kelly | Counselor | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-09-13 |
| 1366554123 | Jeanne Louise Ewen | Social Worker | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-31 |
| 1174633929 | Johnny Corrace Walker | Social Worker | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-30 |
| 1720194392 | Douglas K O'dell | Counselor | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-23 |
| 1750495875 | Thomas Jess Smurthwaite | Psychologist | 10163 Se Sunnyside Rd Ste 490, Clackamas, OR 97015-5720 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184103517 | Laurel Perilli | Physical Therapist | 12550 Se 93rd Ave Ste 265, Clackamas, OR 97015 | 2018-08-07 |
| 1306324538 | Kristin Connor Messing | Physical Therapist | 4805 Ne Glisan St, Prov Hall 7e06, Portland, OR 97015 | 2018-07-31 |
| 1902317266 | Darcy Jones Hamrick | Counselor | 12901 Se 97th Ave., Suite 340, Clackamas, OR 97015 | 2017-10-13 |
| 1841723384 | Manon Lavoie | Chiropractor | 17105 Se Sunnyside Rd, Suite 148, Happy Valley, OR 97015 | 2017-04-11 |
| 1235670126 | Michael G Short | Pedorthist | 10117 Se Sunnyside Rd., Ste. H, Clackamas, OR 97015 | 2017-03-13 |
| 1487100756 | Michael Joseph Peizner | Pharmacist | 16300se Evelyn Street, Clackamas, OR 97015 | 2016-08-28 |
| 1316395619 | Jennifer Elaine Walkowski | Physical Therapist | 9100 Se Sunnyside Road, Clackamas, OR 97015 | 2016-05-26 |
| 1649635384 | Brookside Dental - Milwaukie, LLC | Dentist | 9225 Se Sunnyside Rd. Ste 1, Clackamas, OR 97015 | 2015-12-23 |
| 1801216130 | Robert D. Grew Dmd, Inc. | Dentist | 10163 Se Sunnyside Road, Suite 414, Clackamas, OR 97015 | 2014-04-25 |
| 1508205410 | Valerie P Tabalno | Massage Therapist | 15661 Se 82nd Dr, Clackamas, OR 97015 | 2013-06-25 |
| Find all providers in zip 97015 | ||||
| Taxonomy Code | 1835P1300X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Psychiatric |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in optimizing care of patients with psychiatric illness by assessing and monitoring patients, recognizing drug-induced problems, and recommending appropriate treatment plans. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902354764 | Kaja Wagner | Pharmacist | Oregon State Hospital 2600 Center St Ne, Pharmacy Department, Salem, OR 97301 | 2016-09-21 |
| 1033311899 | Dara Lynn Slunaker | Pharmacist | 10202 Se 32nd Ave Ste 701, Milwaukie, OR 97222-3625 | 2007-06-04 |
| 1154328664 | Edyth Adele Willard | Pharmacist | 4531 Se Belmont St, Suite 100, Portland, OR 97215-1675 | 2005-06-30 |
| 1518443522 | Brandon L. Matacic | Pharmacist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-07-12 |
| 1649794751 | Cassandra Abeyta | Pharmacist | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2017-07-31 |
| 1386053619 | Albert Chira | Pharmacist | 2600 Center St Ne, Pharmacy Department, Salem, OR 97301-2669 | 2014-08-12 |
| 1609968718 | Frank Dougal | Pharmacist | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-09-28 |
Please comment or provide details below to improve the information on TYLER CASEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.