Individual
BILL WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8770 SW SCOFFINS ST, TIGARD, OR 97223-6226
(503) 684-1425
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/22/2011
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