Healthcare Provider Details

I. General information

NPI: 1598946808
Provider Name (Legal Business Name): MS. CLAIRE A. GEHRMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2007
Last Update Date: 11/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 S STATE ST
UKIAH CA
95482-4906
US

IV. Provider business mailing address

301 S STATE ST
UKIAH CA
95482-4906
US

V. Phone/Fax

Practice location:
  • Phone: 707-462-3041
  • Fax: 707-468-5234
Mailing address:
  • Phone: 707-462-3041
  • Fax: 707-468-5234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: