Provider Demographics
NPI:1790043602
Name:EPPELSHEIMER, CATHERINE BRIDGE (LAC, LMT)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:BRIDGE
Last Name:EPPELSHEIMER
Suffix:
Gender:F
Credentials:LAC, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1315 MADISON ST
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-1460
Mailing Address - Country:US
Mailing Address - Phone:503-720-7980
Mailing Address - Fax:
Practice Address - Street 1:15661 SE 82ND DR
Practice Address - Street 2:
Practice Address - City:CLACKAMAS
Practice Address - State:OR
Practice Address - Zip Code:97015-9580
Practice Address - Country:US
Practice Address - Phone:503-343-9851
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-27
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR18727225700000X
ORAC217532171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist