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NPI Code Detail

MEDICARE: MRS. CATHERINE EVELYN NOBLE PA-C

MEDICARE: MRS. CATHERINE EVELYN NOBLE PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA00287OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164418083
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE EVELYN NOBLE PA-C
Provider Business Mailing Address
First Line : 2640 BIEHN ST
Second Line : STE 3
City : KLAMATH FALLS
State : OR
Zip : 97601-1181
Country : US
Telephone Number : 541-884-3148
Fax Number : 541-884-3373
Provider Business Practice Location Address
First Line : 2613 ALMOND ST
Second Line :
City : KLAMATH FALLS
State : OR
Zip : 97601-1116
Country : US
Telephone Number : 541-887-8229
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2005
Last Update Date : 03/07/2023

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