Individual
GUY WHITEHEAD III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
Mailing address
16551 OAKTREE TER, OREGON CITY, OR 97045-3863
(503) 744-0240
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR MD15785
OR
Other
Enumeration date
09/27/2006
Last updated
10/13/2021
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