Individual
WALTER H WHITMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1430 COMMERCIAL ST SE, SALEM, OR 97302-4375
(503) 362-9033
(503) 362-9074
Mailing address
1430 COMMERCIAL ST SE, SALEM, OR 97302-4375
(503) 362-9033
(503) 362-9074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
11337MD
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00561-1
—
OR
01
—
11337 MD
STATE LICENSE
OR
Enumeration date
11/01/2006
Last updated
07/09/2007
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