Provider Demographics
NPI:1013217421
Name:CATTS, ESTHER
Entity Type:Individual
Prefix:MS
First Name:ESTHER
Middle Name:
Last Name:CATTS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2506 NE FLANDERS ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97232-3140
Mailing Address - Country:US
Mailing Address - Phone:503-231-8143
Mailing Address - Fax:
Practice Address - Street 1:1525 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MOLALLA
Practice Address - State:OR
Practice Address - Zip Code:97038-7362
Practice Address - Country:US
Practice Address - Phone:503-829-4855
Practice Address - Fax:503-829-3486
Is Sole Proprietor?:No
Enumeration Date:2010-11-01
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5681183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist