Provider Demographics
NPI:1063495794
Name:CAIN, ZOE A (PT OCS)
Entity Type:Individual
Prefix:MS
First Name:ZOE
Middle Name:A
Last Name:CAIN
Suffix:
Gender:F
Credentials:PT OCS
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Mailing Address - Street 1:16083 SW UPPER BOONES FERRY RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97224-7736
Mailing Address - Country:US
Mailing Address - Phone:800-219-8835
Mailing Address - Fax:503-639-9699
Practice Address - Street 1:101 W CATALDO
Practice Address - Street 2:#300 ADVANTAGE PT
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201
Practice Address - Country:US
Practice Address - Phone:509-326-7311
Practice Address - Fax:509-326-7314
Is Sole Proprietor?:No
Enumeration Date:2005-11-28
Last Update Date:2017-05-01
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Provider Licenses
StateLicense IDTaxonomies
WA2781225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAP01782564OtherRR MEDICARE
WA1063495794Medicaid
102312OtherL & I OF WA
WA7080112Medicaid
102312OtherL & I OF WA
WAG8960196Medicare PIN