Individual
MS. ANDREA GAYLE WHETSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RT
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
1986 NE VISTA AVE, GRESHAM, OR 97030-4158
(503) 666-1955
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
415190
OR
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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