Individual
DEBORAH L WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
610 JEFFERSON ST, OREGON CITY, OR 97045
(503) 657-7235
(503) 657-7676
Mailing address
610 JEFFERSON ST, OREGON CITY, OR 97045
(503) 657-7235
(503) 657-7676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0977
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039797
—
OR
01
—
117228
MHN HMC
—
Enumeration date
01/08/2007
Last updated
07/08/2007
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