KATHERINE C FORMAN MD - NPI 1710120498 - Student in an Organized Health Care Education/Training Program in Klamath Falls, OR

Q: What is Katherine Forman's NPI number?

The NPI number for Katherine Forman is 1710120498. It was assigned to this individual provider in the NPPES registry on April 10, 2009.

Q: What is Katherine Forman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Forman was last updated on April 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Katherine C Forman Md NPPES

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

KATHERINE C FORMAN MD (NPI 1710120498) is an individual student in an organized health care education/training program in Klamath Falls, Oregon and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1710120498

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATHERINE C FORMANCredential: MD

Location Address2801 DAGGETT AVE, OHSUKlamath Falls, OR 97601-1106

Mailing Address109 W San Mateo RdSanta Fe, NM 87505-4746 · (505) 660-5794

Phone(541) 274-4210

Sole ProprietorYes

Enumeration DateApril 10, 2009

Last NPPES UpdateApril 24, 2009

✔ NPI 1710120498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2801 DAGGETT AVE, Klamath Falls, OR 97601

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