Individual
MRS. CELIA JAN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3303 SE DIVISION ST, PORTLAND, OR 97202-1456
(503) 232-1000
Mailing address
3303 SE DIVISION ST, PORTLAND, OR 97202-1456
(503) 232-1000
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
10305
OR
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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