Individual
KATHERINE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
72031 SARAH LN, CLATSKANIE, OR 97016-2632
(360) 490-9202
Mailing address
72031 SARAH LN, CLATSKANIE, OR 97016-2632
(360) 490-9202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60394824
WA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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