Healthcare Provider Details

I. General information

NPI: 1972663375
Provider Name (Legal Business Name): KARIN ULRIKE DAY P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2006
Last Update Date: 02/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9230 MARYSVILLE RD
OREGON HOUSE CA
95962-9705
US

IV. Provider business mailing address

PO BOX 858
OREGON HOUSE CA
95962-0858
US

V. Phone/Fax

Practice location:
  • Phone: 530-692-0601
  • Fax: 530-692-2278
Mailing address:
  • Phone: 530-692-0601
  • Fax: 530-692-2278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number19209
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: