Individual
AMANDA WHITSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(541) 273-1999
(541) 883-4213
Mailing address
725 WASHBURN WAY, KLAMATH FALLS, OR 97603-3648
(541) 273-1999
(541) 883-4213
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/18/2014
Last updated
12/18/2014
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