Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | A208316 | CA |
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO159587 | OR |
N | 207Q00000X | Family Doctor | 20 A8316 | CA |
NPI | 1588629208 |
---|---|
Provider Name | Kate Mccaffrey |
First Address | Sweet Home, OR 97386-3305 |
Second Address | Sweet Home, OR 97386-3305 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2006 |
Last Update Date | 22/10/2013 |