Individual
KATHARINE SUZANNE HAYNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4701 41ST AVE SW, STE 100, SEATTLE, WA 98116-4597
(206) 932-8363
(206) 932-4973
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003182
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7046626
—
WA
Enumeration date
12/07/2005
Last updated
11/07/2007
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