Vanessa Abigail Casillas
Clinical Psychologist Cognitive & Behavioral Psychologist
4920 N Interstate Ave
Portland
, Oregon 97217-3653
Vanessa Abigail Casillas
Clinical Psychologist Cognitive & Behavioral Psychologist
4920 N Interstate Ave
Portland
, Oregon 97217-3653
(503) 215-6644
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About
Features
Specialties
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
Languages spoken
- English
Location
First Address
- Vanessa Abigail Casillas
- Po Box 3158
- Portland, OR
- Zip : 97208-3158
- Fax : (503) 215-6644
- Phone : (503) 215-6494
Second Address
- Vanessa Abigail Casillas
- 4920 N Interstate Ave
- Portland, OR
- Zip : 97217-3653
- Fax : (503) 215-3350
- Phone : (503) 215-3300
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FAQs
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Is Vanessa Abigail Casillas a sole practitioner?
Is Vanessa Abigail Casillas accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TB0200X | Cognitive & Behavioral Psychologist | 2090 | OR |
| Y | 103G00000X | Clinical Psychologist | 2090 | OR |
| Y | 103TC0700X | Clinical Psychologist | 2090 | OR |
National Provider Identifier
| NPI | 1235432287 |
|---|---|
| Provider Name | Vanessa Abigail Casillas |
| First Address | Portland, OR 97208-3158 |
| Second Address | Portland, OR 97217-3653 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/12/2010 |
| Last Update Date | 14/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 500631879 | (05) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.