Individual
ANDREW WHITEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3876 BEVERLY AVE NE BLDG G, SALEM, OR 97305-1319
(503) 576-4536
Mailing address
440 KALAPUYA CT, COTTAGE GROVE, OR 97424-1325
(765) 532-9913
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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