Individual
DR. MICHAEL WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., M.S.
Contact information
Practice address
4253 SE 182ND AVE, GRESHAM, OR 97030-5083
(503) 661-5090
(503) 489-2320
Mailing address
4253 SE 182ND AVE, GRESHAM, OR 97030-5083
(919) 601-5884
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5545
OR
Other
Enumeration date
01/28/2014
Last updated
11/23/2016
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