Provider Demographics
NPI:1356620561
Name:MAJERAN, CATHRYN (DMD)
Entity type:Individual
Prefix:DR
First Name:CATHRYN
Middle Name:
Last Name:MAJERAN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3940 SW LOWELL LN
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4113
Mailing Address - Country:US
Mailing Address - Phone:503-224-1280
Mailing Address - Fax:503-827-0530
Practice Address - Street 1:3940 SW LOWELL LN
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4113
Practice Address - Country:US
Practice Address - Phone:503-224-1280
Practice Address - Fax:503-827-0530
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-05
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5527122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist