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Individual

CHRISTINE A WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2800 SW 257TH AVE, TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-9908
Mailing address
2800 SW 257TH AVE, TROUTDALE, OR 97060-1803
(503) 667-7711
(503) 669-9908

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201391304NP-PP
OR
363LF0000X
Family Nurse Practitioner
R46614
NM

Other

Enumeration date
03/05/2011
Last updated
05/13/2014
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