Individual
KATHERINE K SWANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
860 BELTLINE RD, SPRINGFIELD, OR 97477-1091
(541) 222-6005
(541) 222-6029
Mailing address
5901 HARPER DR NE, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87109-3587
(505) 823-8528
(505) 823-8555
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD27496
OR
207P00000X
Emergency Medicine Physician
PS2005-0480
NM
Other
Enumeration date
08/21/2006
Last updated
10/08/2019
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