Individual
MR. JERRY LEE CAIN II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, MPT
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-3078
(503) 215-6394
Mailing address
2435 NE 27TH AVE, PORTLAND, OR 97212-4852
(503) 234-7668
(503) 215-6394
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3251
OR
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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