Provider Demographics
NPI:1316035728
Name:DRS CASSELL & BOREN PC
Entity Type:Organization
Organization Name:DRS CASSELL & BOREN PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SIMONA
Authorized Official - Middle Name:S
Authorized Official - Last Name:BOREN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:541-687-0816
Mailing Address - Street 1:132 E BROADWAY SUITE 830
Mailing Address - Street 2:DRS CASSELL & BOREN PC
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3160
Mailing Address - Country:US
Mailing Address - Phone:541-687-0816
Mailing Address - Fax:541-687-1086
Practice Address - Street 1:132 E BROADWAY SUITE 830
Practice Address - Street 2:DRS CASSELL & BOREN PC
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-3160
Practice Address - Country:US
Practice Address - Phone:541-687-0816
Practice Address - Fax:541-687-1086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR006704Medicaid