Most Relevant Information
Provider Data
| NPI Number: | 1003424359 |
| Provider Name: | CATHERINE PETERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 174H00000X |
| Specialty: | Health Educator |
| License Number: | 0001 |
Most Important Dates
| Enumeration Date: | 07/22/2020 |
| Last Updated: | 07/22/2020 |
Provider Practice Location
128 S 11TH ST
KLAMATH FALLS
OR
976015806
Practice Location Phone/Fax
| Phone: | 5412742770 |
| Fax: | 5412742779 |
Provider Mailing Location
128 S 11TH ST
KLAMATH FALLS
OR
976015806
Provider Mailing Phone/Fax
| Phone: | 5412742770 |
| Fax: | 5412742779 |