Individual
MR. JAMES W CAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
51577 COLUMBIA RIVER HWY, SUITE A, SCAPPOOSE, OR 97056-8409
(503) 543-0254
(503) 543-0259
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
1612
NV
225100000X
Physical Therapist
Primary
OR 60095
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0330805
WA L&I
OR
01
—
0330817
WA L&I
OR
01
—
0330835
WA L&I
OR
05
—
3402372
—
NV
05
—
500658344
—
OR
Enumeration date
02/02/2006
Last updated
04/22/2016
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