Provider Demographics
NPI:1497364665
Name:EBEL, CATHERINE (ASCP PBT)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:EBEL
Suffix:
Gender:F
Credentials:ASCP PBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 HIGHWAY 101
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97439-7634
Mailing Address - Country:US
Mailing Address - Phone:541-214-3035
Mailing Address - Fax:
Practice Address - Street 1:1379 RHODODENDRON DR # C
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:OR
Practice Address - Zip Code:97439-7405
Practice Address - Country:US
Practice Address - Phone:541-214-3035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
246RP1900X
MI12810246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy