Individual
JAMES BREWSTER WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
9620 NE TANASBOURNE DR STE 300, HILLSBORO, OR 97124-7844
(541) 818-0009
Mailing address
1705 CENTENNIAL BLVD STE 2, SPRINGFIELD, OR 97477-3320
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C8765
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500800759
—
OR
Enumeration date
07/24/2020
Last updated
04/04/2025
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