black and white state seal

DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE

CASEY MISHIMA

PRODUCER NON-RESIDENT

License Number:
PRN291232
Status:
First Licensure:
08/05/2017
Cancel Date:
None

Mailing:
SALEM, OR 97301
Phone:
+1 (314) 493-8000
Fax:
+1 (336) 435-0750
Email:
casey.mishima@ngic.com

History

License Type Start Date End Date
PRODUCER NON-RESIDENT 08/05/2017

Agency

Name Issue Date License Number Expiration Date Cancel Date
AFFINITY BROKERAGE LLC
08/05/2017 AGN55398
CWI LLC
08/10/2017 AGN173565 04/23/2024
NATIONAL GENERAL INSURANCE MARKETING INC
08/10/2017 AGN43510

Employer

Name Issue Date License Number Expiration Date Cancel Date
DAIRYLAND INSURANCE COMPANY
06/12/2019 PCF721
FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN
08/11/2017 PCF445
INTEGON NATIONAL INSURANCE COMPANY
08/07/2017 PCF310
NATIONAL GENERAL INSURANCE COMPANY
08/07/2017 PCF647
PROGRESSIVE NORTHERN INSURANCE COMPANY
09/05/2017 PCF51006
PROGRESSIVE NORTHWESTERN INSURANCE COMPANY
09/05/2017 PCF27738

Authority

Description Issue Date Termination Date Status
CASUALTY 08/05/2017 Active
PROPERTY 08/05/2017 Active

License/Disciplinary Action

None.

GENERAL INFORMATION

NAIC Information

National Producer Number (NPN):
18489187

Other Addresses

Address Type
357 SE 68TH AVE
HILLSBORO, OR 97123-3953
Office

An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.

Date: 06/25/2025 04:36:43 AM