Provider Demographics
NPI:1285964775
Name:CASAS, IRVING (CRT CERTIFIED RESPIR)
Entity type:Individual
Prefix:
First Name:IRVING
Middle Name:
Last Name:CASAS
Suffix:
Gender:M
Credentials:CRT CERTIFIED RESPIR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10180 SE SUNNYSIDE RD.
Mailing Address - Street 2:RESPIRATORY CARE DEPT.
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-8970
Mailing Address - Country:US
Mailing Address - Phone:503-652-2800
Mailing Address - Fax:
Practice Address - Street 1:10180 SE SUNNYSIDE RD.
Practice Address - Street 2:RESPIRATORY CARE DEPT.
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-8970
Practice Address - Country:US
Practice Address - Phone:503-652-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2010-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRT-P-10131899227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered