Individual provider · Type 1 NPI

Katherine C. Forman, MD

Student in an Organized Health Care Education/Training Program · Klamath Falls, OR

NPI number 1710120498 Active

Practice location

2801 Daggett Ave, Ohsu
Klamath Falls, OR 97601-1106

Call (541) 274-4210 Map

Mailing address

109 W San Mateo Rd
Santa Fe, NM 87505-4746

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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.

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About NPI 1710120498

Katherine C. Forman, MD's National Provider Identifier is 1710120498, issued on Apr 10, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Klamath Falls, OR. The record was last updated on Apr 24, 2009.