Provider Demographics
NPI:1073312021
Name:WOAHN, CATHERINE BERGESON
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:BERGESON
Last Name:WOAHN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3405 N 150 W
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-3896
Mailing Address - Country:US
Mailing Address - Phone:801-641-1932
Mailing Address - Fax:
Practice Address - Street 1:12397 S 300 E STE 100
Practice Address - Street 2:
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-8274
Practice Address - Country:US
Practice Address - Phone:801-349-9606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-12
Last Update Date:2025-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program