Provider Demographics
NPI:1265444160
Name:DONALDSON, CATHERINE JANE (MD)
Entity type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:JANE
Last Name:DONALDSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:CATHERINE
Other - Middle Name:JANE
Other - Last Name:MOSSEFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:77 WAINWRIGHT ROAD
Mailing Address - Street 2:WALLA WALLA VA MEDICAL CENTER
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362
Mailing Address - Country:US
Mailing Address - Phone:509-525-5200
Mailing Address - Fax:509-527-3481
Practice Address - Street 1:77 WAINWRIGHT ROAD
Practice Address - Street 2:WALLA WALLA VA MEDICAL CENTER
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362
Practice Address - Country:US
Practice Address - Phone:509-525-5200
Practice Address - Fax:509-527-3481
Is Sole Proprietor?:No
Enumeration Date:2006-08-12
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD264742084P0800X
WY7944A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry