Individual
DARRELL WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 SE 3RD AVE, 100, HILLSBORO, OR 97123-4093
(503) 693-3104
Mailing address
205 SE 3RD AVE, 100, HILLSBORO, OR 97123-4093
(503) 693-3104
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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