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NPI Code Detail

MEDICARE: DR. GREGORY HOWARD CAIN MD

MEDICARE: DR. GREGORY HOWARD CAIN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianMD00020681WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2129302OTHERWALABOR AND INDUSTRIES

General Provider Information

NPI Number : 1154395085
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY HOWARD CAIN MD
Provider Business Mailing Address
First Line : 1400 POTTERY AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3711
Country : US
Telephone Number : 360-895-5000
Fax Number :
Provider Business Practice Location Address
First Line : 1400 POTTERY AVE
Second Line :
City : PORT ORCHARD
State : WA
Zip : 98366-3711
Country : US
Telephone Number : 360-895-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2006
Last Update Date : 05/20/2021

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Directions to “ DR. GREGORY HOWARD CAIN MD” Practice Location

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