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General NPI Number Information
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NPI Number | 1811062912
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Entity Type | Individual
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Provider Name | CATHERINE MAMAH M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/22/2006
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 2121 NE 139TH ST MOB A, STE.400
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City | VANCOUVER
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State | WA
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Zip | 98686-2316
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Country | US
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Telephone | 360-487-4707
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 12563
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City | SEATTLE
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State | WA
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Zip | 98111-4563
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Country | US
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Telephone | 585-214-9536
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MD60577656
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084N0008X
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Taxonomy Name | Neuromuscular Medicine (Psychiatry & Neurology) Physician
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License Number | MD60577656
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 105347
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 60081
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | EL31992
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License Number State | NH
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Taxonomy #6
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Taxonomy Code | 2084N0600X
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Taxonomy Name | Clinical Neurophysiology Physician
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License Number | MD60577656
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License Number State | WA
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Taxonomy #7
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Taxonomy Code | 2084N0402X
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Taxonomy Name | Neurology with Special Qualifications in Child Neurology Physician
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License Number | MD60577656
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License Number State | WA
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Taxonomy #8
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 836
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License Number State | WI
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