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Organization
DIANE F. WHITNEY, M. D., P. C.
Active
Organization
DIANE F. WHITNEY, M. D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE F. WHITNEY M. D. (PRESIDENT)
(503) 223-6360
Entity
Organization
Contact information
Practice address
1220 SW MORRISON ST, SUITE 525, PORTLAND, OR 97205-2235
(503) 223-6360
(503) 497-1257
Mailing address
1220 SW MORRISON ST, SUITE 525, PORTLAND, OR 97205-2235
(503) 223-6360
(503) 497-1257
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MD10974
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000BHKTW
MEDICARE ID
OR
Enumeration date
11/13/2010
Last updated
11/13/2010
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