Individual
DR. RICHARD WHALEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
960 N 16TH ST, STE. 304, SPRINGFIELD, OR 97477-4175
(541) 746-7914
Mailing address
960 N 16TH ST, STE. 304, SPRINGFIELD, OR 97477-4175
(541) 746-7914
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD26171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274008
—
OR
Enumeration date
04/06/2006
Last updated
07/08/2007
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