Provider Demographics
NPI:1619487295
Name:SPANGLER, KATHERINE CAMELA (ND)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:CAMELA
Last Name:SPANGLER
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1503 MONROE AVE
Mailing Address - Street 2:
Mailing Address - City:LA GRANDE
Mailing Address - State:OR
Mailing Address - Zip Code:97850-3067
Mailing Address - Country:US
Mailing Address - Phone:541-962-5235
Mailing Address - Fax:888-972-1716
Practice Address - Street 1:1503 MONROE AVE
Practice Address - Street 2:
Practice Address - City:LA GRANDE
Practice Address - State:OR
Practice Address - Zip Code:97850-3067
Practice Address - Country:US
Practice Address - Phone:541-962-5285
Practice Address - Fax:888-972-1716
Is Sole Proprietor?:No
Enumeration Date:2017-10-09
Last Update Date:2017-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4109175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath