MEDICARE: CATHERINE EARL

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
1	225200000X	Physical Therapy Assistant	8902	TN

General Provider Information

NPI Number	:	1164393906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE EARL

Provider Business Mailing Address
First Line	:	1820 OLIVE ST
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97401-3856
Country	:	US
Telephone Number	:	541-206-4353
Fax Number	:

Provider Business Practice Location Address
First Line	:	65 DIVISION AVE STE T
Second Line	:
City	:	EUGENE
State	:	OR
Zip	:	97404-2485
Country	:	US
Telephone Number	:	541-418-4590
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	09/15/2025

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Directions to “ CATHERINE EARL ” Practice Location

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