Provider Demographics
NPI:1760690523
Name:SCHORR, KATRINA L (LMT)
Entity Type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:L
Last Name:SCHORR
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19444 ORCHARD GROVE DR
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-7129
Mailing Address - Country:US
Mailing Address - Phone:971-275-6900
Mailing Address - Fax:
Practice Address - Street 1:19273 MOLALLA AVE
Practice Address - Street 2:SUITE D
Practice Address - City:OREGON CITY
Practice Address - State:OR
Practice Address - Zip Code:97045-8053
Practice Address - Country:US
Practice Address - Phone:971-275-6900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR12711225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist