Davidson, Katherine Ellen S.

Davidson, Katherine Ellen S. is an individual health care provider with primary practice located at 1395 Liberty St Se , Salem OR 97302-4276. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Davidson, Katherine Ellen S. can be contacted via phone (503) 399-2444.

Contact Information

Primary practice address
1395 Liberty St Se Salem OR 97302-4276
Phone: (503) 399-2444
Fax: (503) 581-3960
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 094000237N5 NPNM Oregon
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 094000237N5 NPNM Oregon

Profile Details

NPI number 1588698187
LBN Legal business name Davidson, Katherine Ellen S.
Credentials RNP/CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 1st, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588698187 NPPES
Oregon MEDICAID 000846

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