Individual
ANGELA CAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16420 SE DIVISION ST, PORTLAND, OR 97236-1987
(503) 762-3130
Mailing address
16420 SE DIVISION ST, PORTLAND, OR 97236-1987
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
15-CRM-115
OR
261QH0100X
Health Service Clinic/Center
Primary
16-07-09
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15-CRM-114
ACCBO
OR
01
—
16-07-09
ACCBO
OR
Enumeration date
08/26/2015
Last updated
08/26/2016
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