Healthcare Provider Details

I. General information

NPI: 1598834798
Provider Name (Legal Business Name): COLETTE M KATO DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 W HERON ST
ABERDEEN WA
98520-6022
US

IV. Provider business mailing address

511 W HERON ST
ABERDEEN WA
98520-6022
US

V. Phone/Fax

Practice location:
  • Phone: 564-544-1950
  • Fax: 564-544-1938
Mailing address:
  • Phone: 564-544-1950
  • Fax: 564-544-1938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberOP00001236
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOP00001236
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: