Provider Demographics
NPI:1275856460
Name:CLAUSEN, CASIE M
Entity Type:Individual
Prefix:
First Name:CASIE
Middle Name:M
Last Name:CLAUSEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:531 W 10TH AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2493
Mailing Address - Country:US
Mailing Address - Phone:541-513-0110
Mailing Address - Fax:
Practice Address - Street 1:531 W 10TH AVE APT 1
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2493
Practice Address - Country:US
Practice Address - Phone:541-513-0110
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-02
Last Update Date:2011-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health