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NPI Code Detail

MEDICARE: JOHN FRANK CASSINERIO LMP

MEDICARE:   JOHN FRANK CASSINERIO  LMP
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
1172M00000XMechanotherapistMA60254453WA
2172M00000XMechanotherapist20616OR

General Provider Information

NPI Number : 1164760641
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN FRANK CASSINERIO LMP
Provider Business Mailing Address
First Line : 19839 HIGHWAY 213 APT A2004
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-7946
Country : US
Telephone Number : 360-593-3586
Fax Number :
Provider Business Practice Location Address
First Line : 619 HIGH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2240
Country : US
Telephone Number : 503-656-4993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2013
Last Update Date : 07/13/2015

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Directions to “ JOHN FRANK CASSINERIO LMP” Practice Location

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