Individual
KATELYN PANCAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EMT
Contact information
Practice address
970 W 7TH AVE, EUGENE, OR 97402-4612
(541) 342-8255
Mailing address
408 S 2ND ST, HARRISBURG, OR 97446-9646
(541) 337-3336
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
203402
OR
2279E0002X
Emergency Care Registered Respiratory Therapist
—
OR
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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