Most Relevant Information
Provider Data
| NPI Number: | 1003060336 |
| Provider Name: | CASSIDY CHRISTOPHER BS |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 11/13/2008 |
| Last Updated: | 11/13/2008 |
Provider Practice Location
1100 K AVE
LA GRANDE
OR
978502131
Practice Location Phone/Fax
| Phone: | 5419628800 |
| Fax: | 5419635272 |
Provider Mailing Location
1100 K AVE
LA GRANDE
OR
978502131
Provider Mailing Phone/Fax
| Phone: | 5419628800 |
| Fax: | 5419635272 |