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Individual

CATHERINE LYDIA BAUMAN-VIRNIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
12901 SE 97TH AVE, SUITE 105, CLACKAMAS, OR 97015-7901
(503) 655-8045
(503) 655-6806
Mailing address
12901 SE 97TH AVE, SUITE 105, CLACKAMAS, OR 97015-7901
(503) 655-8045
(503) 655-6806

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/03/2012
Last updated
05/31/2016
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