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Individual

JIM V WHIPPLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
805 SE 151ST AVE, SUITE O, PORTLAND, OR 97233-2916
(971) 271-7270
(971) 302-6055
Mailing address
805 SE 151ST AVE, PORTLAND, OR 97233-2916
(971) 271-7270
(971) 302-6055

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary

Other

Enumeration date
01/11/2010
Last updated
03/31/2016
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