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Individual

LAURA MCWILLIAM WHITING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1304 MONTELLO AVE, HOOD RIVER, OR 97031-1544
(541) 387-6125
(541) 387-6321
Mailing address
PO BOX 3390, PORTLAND, OR 97208-3390

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01287
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500610694
OR
05
500632165
OR
01
P01221609
RR MEDICARE (PH&S) - PMG/WA
WA
Enumeration date
10/25/2007
Last updated
03/25/2021
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