Individual
JULIE ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10345 SW MCDONALD ST, TIGARD, OR 97224-4854
(503) 620-2960
Mailing address
5510 DOOGAN CT SE, SALEM, OR 97306-1245
(503) 510-8370
(503) 399-1858
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
085081237RN
OR
Other
Enumeration date
03/02/2018
Last updated
03/02/2018
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