Casey Ray Love
Casey Ray Love is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
Corvallis, ORNo coordinates on file. Search this address in Google Maps
Additional practice locations (1)
- 1111 W 17th St, Tulsa, OK 74107-1886 — (662) 542-5394
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence PG211170 (OR) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1992374680 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 17, 2021 |
| Last updated in NPPES | April 21, 2022 |
| Certification date | April 21, 2022 |
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