Individual
MS. KATHARINE WARFIELD YEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC 1, CRM
Contact information
Practice address
22018 S CENTRAL POINT RD, CANBY, OR 97013-8705
(503) 791-9603
Mailing address
7814 N FOWLER AVE, PORTLAND, OR 97217-5933
(503) 791-9603
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106S00000X
UNKNOWN DESIGNATION
OR
Enumeration date
12/08/2016
Last updated
12/08/2016
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