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General NPI Number Information
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NPI Number | 1417886623
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Entity Type | Individual
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Provider Name | KATHERINE MACDONALD
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Gender | Female
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Dates
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Enumeration Date | 05/14/2026
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Last Update Date | 05/14/2026
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Provider Practice Location Address
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Address Line | 1314 AUBURN WAY N
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City | AUBURN
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State | WA
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Zip | 98002-4109
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Country | US
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Telephone | 253-237-3405
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Fax | 253-426-3096
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Provider Business Mailing Address
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Address Line | 23026 100TH AVE SE
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City | KENT
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State | WA
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Zip | 98031-3231
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Country | US
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Telephone | 253-929-4290
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA.OC.61604783
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License Number State | WA
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