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General NPI Number Information
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NPI Number | 1861681967
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Entity Type | Organization
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Legal Business Name | KATHERINE MECHLING
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Dates
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Enumeration Date | 10/15/2007
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Last Update Date | 06/04/2014
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Provider Practice Location Address
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Address Line | 18173 REDWOOD HWY
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City | SELMA
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State | OR
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Zip | 97538-0847
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Country | US
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Telephone | 541-597-2464
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Fax | 541-597-4280
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Provider Business Mailing Address
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Address Line | PO BOX 847
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City | SELMA
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State | OR
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Zip | 97538-0847
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Country | US
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Telephone | 541-597-2464
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Fax | 541-597-4280
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Authorized Official
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Title or Position | OWNER/ PHYSICIAN
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Name | DR. KATHERINE A MECHLING
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Credential | MD
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Telephone | 541-597-2464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | MD19485
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | MD19485
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License Number State | OR
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