Provider Demographics
NPI:1336186436
Name:NORLAND, KATHERINE K (PT)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:K
Last Name:NORLAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:508 GREENWALT PL.
Mailing Address - Street 2:
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801
Mailing Address - Country:US
Mailing Address - Phone:509-663-7166
Mailing Address - Fax:
Practice Address - Street 1:203 MISSION ST.
Practice Address - Street 2:SUITE 112
Practice Address - City:CASHMERE
Practice Address - State:WA
Practice Address - Zip Code:98815
Practice Address - Country:US
Practice Address - Phone:509-782-8818
Practice Address - Fax:509-782-8919
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2014-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00008590174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7103385Medicaid
WA7103385Medicaid
WAAB33641Medicare PIN