Individual
DR. DAVID K WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14523 WESTLAKE DR, SUITE 8, LAKE OSWEGO, OR 97035-7700
(503) 684-1962
(503) 624-9538
Mailing address
PO BOX 269, LAKE OSWEGO, OR 97034-0031
(503) 684-1962
(503) 624-9538
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
19404
OR
2084P0800X
Psychiatry Physician
MD000036270
WA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
19404
OR
2084P0804X
Child & Adolescent Psychiatry Physician
MD000036270
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1119437
—
WA
01
—
164993
OMAP
OR
Enumeration date
12/27/2005
Last updated
06/03/2011
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