Brooke Whiting, LE

NPI #1669242574 in Gresham, Oregon

Provider Information

NPI Number: 1669242574
Entity Type: Individual
Name: Brooke Whiting, LE
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician, Other
Credential: LE
Enumeration Date: Jan 3, 2024
Last Updated: Jan 3, 2024

Practice Location

Address: 718 N MAIN AVE
City: Gresham
State: Oregon
ZIP Code: 97030-7229
Phone: (971) 666-7795

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X
Technician, Other	247200000X	Primary

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