Provider Demographics
NPI:1023082286
Name:OBERHOFER, KATHERINE JEANNE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:KATHERINE
Middle Name:JEANNE
Last Name:OBERHOFER
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2924 QUEEN ANNE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-1728
Mailing Address - Country:US
Mailing Address - Phone:509-374-3920
Mailing Address - Fax:
Practice Address - Street 1:1417 116TH AVE NE STE 110
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3821
Practice Address - Country:US
Practice Address - Phone:425-688-5911
Practice Address - Fax:425-688-5912
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2202004899235Z00000X
WALL60201290235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist