Provider Demographics
NPI:1750728788
Name:WOOLSEY, CASEY VERL (MSHS, PA-C)
Entity type:Individual
Prefix:MR
First Name:CASEY
Middle Name:VERL
Last Name:WOOLSEY
Suffix:
Gender:M
Credentials:MSHS, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2219 RIMLAND DR STE 301
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8759
Mailing Address - Country:US
Mailing Address - Phone:253-922-4027
Mailing Address - Fax:844-222-0800
Practice Address - Street 1:817 E PLUM ST
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-1870
Practice Address - Country:US
Practice Address - Phone:509-765-7835
Practice Address - Fax:509-765-6705
Is Sole Proprietor?:No
Enumeration Date:2013-05-31
Last Update Date:2025-09-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
DCPA030947363AM0700X
WAPA61000052363AM0700X
MDC0006788363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical