Individual
AMY JOY CAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9701 SW BARNES RD, SUITE 300, PORTLAND, OR 97225-6772
(503) 297-8081
(503) 292-6601
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA10004991
WA
363AM0700X
Medical Physician Assistant
Primary
PA150192
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100612240
—
OR
05
—
8451148
—
WA
Enumeration date
06/20/2006
Last updated
11/19/2024
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