1. Home
  2. Directory
  3. Oregon
  4. Gold Beach
  5. Specialist
  6. NPI Profile

KATHRYN CHASSEREAU L.M.T.
NPI 1104251727
Specialist in Gold Beach, OR

Active since September 13, 2013
29846 ELLENSBURG AVE, GOLD BEACH, OR 97444(541) 698-8409(541) 247-9509 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathryn Chassereau L.m.t. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHRYN CHASSEREAU L.M.T. (NPI 1104251727) is an individual specialist in Gold Beach, Oregon, licensed in Oregon (15866) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1104251727
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKATHRYN CHASSEREAUCredential: L.M.T.
Location Address29846 ELLENSBURG AVEGold Beach, OR 97444-0650
Mailing AddressPo Box 650Gold Beach, OR 97444-0650 · (541) 698-8409 · Fax (541) 247-9509
Phone(541) 698-8409
Fax(541) 247-9509
Sole ProprietorYes
Enumeration DateSeptember 13, 2013
✔ NPI 1104251727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 15866
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
29846 ELLENSBURG AVE, Gold Beach, OR 97444
Open in Google Maps ↗

Other Identifiers 1

Other15866OR · Massage License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathryn Chassereau's NPI number?

The NPI number for Kathryn Chassereau is 1104251727. It was assigned to this individual provider in the NPPES registry on September 13, 2013.

Where is Kathryn Chassereau located?

Kathryn Chassereau practices at 29846 Ellensburg Ave, Gold Beach, OR 97444. The listed phone number is (541) 698-8409.

What is Kathryn Chassereau's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kathryn Chassereau was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.