Individual
MR. JONATHAN DAVID CAULLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
9205 SW BARNES RD, PORTLAND, OR 97225-6603
(503) 216-2610
Mailing address
7315 N PRINCETON ST, PORTLAND, OR 97203-5055
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4001
OR
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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