Individual provider · Type 1 NPI
Jaime Lyn Casta Mah, NP-C
Family Nurse Practitioner · Portland, OR
NPI number
1407161060
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 494-4997
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 201050201NP (OR) |
Family Nurse Practitioner: Definition to come...
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About NPI 1407161060
Jaime Lyn Casta Mah, NP-C's National Provider Identifier is 1407161060, issued on Aug 6, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Portland, OR. The record was last updated on Dec 8, 2022.