Individual
CYNTHIA KATANCIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22400 SALAMO RD, SUITE 101, WEST LINN, OR 97068-8269
(503) 657-6010
(503) 655-0753
Mailing address
22400 SALAMO RD, SUITE 101, WEST LINN, OR 97068-8269
(503) 657-6010
(503) 655-0753
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA165502
OR
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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