Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | 2381 | OR |
NPI | 1295165512 |
---|---|
Provider Name | Dr. Catherine Jaquith |
First Address | Salem, OR 97302-4108 |
Second Address | Salem, OR 97302-4108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/11/2013 |
Last Update Date | 22/11/2013 |