Individual
DR. KATHARINE MIDDENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3509 NW SAMARITAN DR STE 215, CORVALLIS, OR 97330-3893
(541) 768-5235
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2742
OR
103T00000X
Psychologist
Primary
2746
OR
Other
Enumeration date
10/21/2016
Last updated
11/11/2020
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