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Individual

KATHERINE WILLIAMS OMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1620 E 12TH ST, STE 200, THE DALLES, OR 97058-3213
(541) 296-9151
(541) 296-9156
Mailing address
PO BOX 1520, THE DALLES, OR 97058-8003
(541) 296-7668

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36687
KY
208000000X
Pediatrics Physician
Primary
MD157435
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639176613
OR
05
218112
OR
05
64037328
KY
Enumeration date
07/05/2005
Last updated
11/06/2013
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