Individual
JEAN KASAMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 NE PARK PLAZA DR, SUITE 246, VANCOUVER, WA 98684-5808
(360) 696-1070
(360) 737-0200
Mailing address
8333 SW POINTER WAY, APT. O, PORTLAND, OR 97225-6389
(971) 404-9197
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5614
OR
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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