Whitaker Wellness LLC

NPI #1831641505 in Gresham, Oregon

Provider Information

NPI Number
1831641505
Entity Type
Organization
Organization Name
Whitaker Wellness LLC
Primary Specialty
Clinic/Center
Enumeration Date
Oct 28, 2016
Last Updated
Oct 28, 2016

Practice Location

Address
4253 SE 182ND AVE
State
Oregon
ZIP Code
97030-5083
Phone
(503) 661-5090

Authorized Official

Name
DR. MICHAEL ROBERT WHITAKER, D.C.
Title
MEMBER
Phone
(503) 661-5090

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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