Healthcare Provider Details

I. General information

NPI: 1144335506
Provider Name (Legal Business Name): CATHERINE LYNN MESSNER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHERINE LYNN MESSNER-FISHER MSW

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 01/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

627 NE EVANS ST
MCMINNVILLE OR
97128-3923
US

IV. Provider business mailing address

627 NE EVANS ST
MCMINNVILLE OR
97128-3923
US

V. Phone/Fax

Practice location:
  • Phone: 503-434-7523
  • Fax:
Mailing address:
  • Phone: 503-434-7523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberL6291
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: