Individual
MR. PAUL STEPHEN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
6464 SW BORLAND RD, SUITE B5, TUALATIN, OR 97062-8876
(503) 699-2955
(503) 699-2703
Mailing address
6464 SW BORLAND RD, SUITE B5, TUALATIN, OR 97062-8876
(503) 699-2955
(503) 699-2703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1739
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059142001
BCBS
OR
05
—
072087
—
OR
05
—
204243
—
OR
Enumeration date
02/27/2007
Last updated
09/02/2015
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