Individual
COREY W WHIRLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(971) 283-4924
Mailing address
121 CHERRY ST, SILVERTON, OR 97381-1909
(503) 508-9016
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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