Provider Demographics
NPI:1669963575
Name:YORE, CATHERINE H (PA-C)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:H
Last Name:YORE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:H
Other - Last Name:PHIPPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:1720 NW ASH AVE
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-5112
Mailing Address - Country:US
Mailing Address - Phone:405-501-5254
Mailing Address - Fax:
Practice Address - Street 1:5604 SW LEE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-9663
Practice Address - Country:US
Practice Address - Phone:580-531-6468
Practice Address - Fax:580-531-6426
Is Sole Proprietor?:No
Enumeration Date:2018-05-25
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant