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Individual

DR. RAYMOND ANTHONY CAPONE III

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2031 E BURNSIDE ST, PORTLAND, OR 97214-1649
(503) 224-2100
(503) 224-2129
Mailing address
22020 NE CHINOOK WAY, APT B, FAIRVIEW, OR 97024-2701
(412) 389-7811

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5020
OR

Other

Enumeration date
12/07/2011
Last updated
12/07/2011
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