Basic Information
Provider Information
NPI: 1750518866
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: STEERE
FirstName: KARIN
MiddleName: BETH
NamePrefix: MS.
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: TOWNSON
OtherFirstName: KARIN
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 16083 SW UPPER BOONES FERRY RD
Address2: STE. 300
City: TIGARD
State: OR
PostalCode: 972247736
CountryCode: US
TelephoneNumber: 8002198835
FaxNumber: 5036399699
Practice Location
Address1: 100 W HARRISON ST
Address2: SUITE 160
City: SEATTLE
State: WA
PostalCode: 981194116
CountryCode: US
TelephoneNumber: 2063520105
FaxNumber: 2063520106
Other Information
ProviderEnumerationDate: 06/16/2009
LastUpdateDate: 06/19/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000X WAN Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 
225100000XPT60094452WAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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