Provider Demographics
NPI:1053710210
Name:LAWSON, CATHERINE E (RDH, EPDH)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:E
Last Name:LAWSON
Suffix:
Gender:F
Credentials:RDH, EPDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 JEFFERSON PKWY
Mailing Address - Street 2:APT A4
Mailing Address - City:LAKE OSWEGO
Mailing Address - State:OR
Mailing Address - Zip Code:97035-8879
Mailing Address - Country:US
Mailing Address - Phone:808-398-5638
Mailing Address - Fax:
Practice Address - Street 1:2 JEFFERSON PKWY
Practice Address - Street 2:APT A4
Practice Address - City:LAKE OSWEGO
Practice Address - State:OR
Practice Address - Zip Code:97035-8879
Practice Address - Country:US
Practice Address - Phone:808-398-5638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORH6794124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist