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1114130366
JERRY LEE CAIN
PORTLAND, OR
NPI
1114130366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 3251)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. JERRY LEE CAIN PT, MPT
4805 NE GLISAN ST
PORTLAND, OR 97213-2933
Phone number: 503-215-3078
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Mailing Address
Mr. JERRY LEE CAIN PT, MPT
2435 NE 27TH AVE
PORTLAND, OR 97212-4852
Phone number: 503-234-7668
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