Individual
DR. KARLI WHITTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MO
Contact information
Practice address
1000 SE TECH CENTER DRIVE, SUITE 120, VANCOUVER, WA 98683
(360) 260-2773
(360) 260-2217
Mailing address
PO BOX 2077, PORTLAND, OR 97208-2077
(503) 413-3900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MO00035092
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8226359
—
WA
Enumeration date
05/19/2006
Last updated
03/14/2018
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