Provider Demographics
NPI:1730298977
Name:DONLON-SILVESTRI, CASSANDRA MAE (PMHNP)
Entity Type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:MAE
Last Name:DONLON-SILVESTRI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1161 SE AZALEA ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97470
Mailing Address - Country:US
Mailing Address - Phone:541-440-9742
Mailing Address - Fax:541-440-9742
Practice Address - Street 1:913 NW GARDEN VALLY BLVD
Practice Address - Street 2:ROSEBURG VETERANS ADMINISTRATION HEALTH CARE SYSTEM
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97470
Practice Address - Country:US
Practice Address - Phone:541-440-1000
Practice Address - Fax:541-440-1356
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OR000042166N6363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health