Individual
KATHERINE PATRICIA INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
201 W MAIN ST, MEDFORD, OR 97501-2744
(541) 281-9026
Mailing address
890 S 3RD ST, JACKSONVILLE, OR 97530-9017
(541) 840-0359
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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