Individual
WHITNEY TYLER TEMPLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5050 NE HOYT ST STE 422, PORTLAND, OR 97213-2984
(503) 488-2345
(503) 488-2350
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA214745
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500816623
—
OR
Enumeration date
07/06/2016
Last updated
11/28/2023
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