Provider Demographics
NPI:1972804938
Name:SILANG, KATHERINE ROSE SALDARIEGA
Entity type:Individual
Prefix:MS
First Name:KATHERINE ROSE
Middle Name:SALDARIEGA
Last Name:SILANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1340 FORD LN
Mailing Address - Street 2:
Mailing Address - City:NORTH BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97459-2446
Mailing Address - Country:US
Mailing Address - Phone:541-404-1980
Mailing Address - Fax:
Practice Address - Street 1:3959 SHERIDAN AVE
Practice Address - Street 2:
Practice Address - City:NORTH BEND
Practice Address - State:OR
Practice Address - Zip Code:97459-2834
Practice Address - Country:US
Practice Address - Phone:541-756-4151
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-08
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR244091225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist