Individual
DOUGLAS WHIPPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
1501 6TH ST, LA GRANDE, OR 97850-2419
(541) 962-0162
(541) 962-0119
Mailing address
1101 I AVE, LA GRANDE, OR 97850-2043
(541) 962-0162
(541) 962-0019
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
Other
Enumeration date
03/02/2016
Last updated
03/02/2016
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