Individual
NATASHA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
2503
OR
103T00000X
Psychologist
Primary
2503
OR
Other
Enumeration date
10/23/2015
Last updated
07/15/2021
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