Provider Demographics
NPI:1306933700
Name:NOBLE, CATHARINE RUTH (OTR L LMT)
Entity type:Individual
Prefix:MS
First Name:CATHARINE
Middle Name:RUTH
Last Name:NOBLE
Suffix:
Gender:F
Credentials:OTR L LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10954 SE 172ND AVE
Mailing Address - Street 2:
Mailing Address - City:BORING
Mailing Address - State:OR
Mailing Address - Zip Code:97009
Mailing Address - Country:US
Mailing Address - Phone:503-256-1557
Mailing Address - Fax:
Practice Address - Street 1:11711 NE GLISAN ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220
Practice Address - Country:US
Practice Address - Phone:503-256-1557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR7117225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist