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1013125442
JONATHAN DAVID CAULLEY
PORTLAND, OR
NPI
1013125442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 4001)
Enumeration Date
2007-05-18
Last Update Date
2007-07-08
Business Address
Mr. JONATHAN DAVID CAULLEY PT
9205 SW BARNES RD
PORTLAND, OR 97225-6603
Phone number: 503-216-2610
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Mailing Address
Mr. JONATHAN DAVID CAULLEY PT
7315 N PRINCETON ST
PORTLAND, OR 97203-5055
Phone number:
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