Most Relevant Information
Provider Data
| NPI Number: | 1003283078 |
| Provider Name: | ANGELA CAVE |
| Entity Type: | Individual |
| Taxonomy Code: | 261QH0100X |
| Specialty: | Clinic/Center |
| License Number: | 16-07-09 |
Most Important Dates
| Enumeration Date: | 08/26/2015 |
| Last Updated: | 08/26/2016 |
Provider Practice Location
16420 SE DIVISION ST
PORTLAND
OR
972361987
Practice Location Phone/Fax
| Phone: | 5037623130 |
| Fax: |
Provider Mailing Location
16420 SE DIVISION ST
PORTLAND
OR
972361987
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |