Individual
SOPHIA WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
125 WHIPPLE ST STE 3, PROVIDENCE, RI 02908-3258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD20142
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2020
Last updated
08/14/2024
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