Individual
KATHERINE AMMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
548 SW 13TH ST, BEND, OR 97702-3184
(541) 388-8459
(541) 388-8116
Mailing address
1333 NW 9TH ST, PRINEVILLE, OR 97754-1482
(541) 447-2631
(541) 447-2616
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500673381
—
OR
Enumeration date
08/31/2015
Last updated
04/10/2024
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