Individual
MICHAEL WHITTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
650 SE OAK ST, HILLSBORO, OR 97123-4120
(502) 648-8588
Mailing address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
332953
OR
Other
Enumeration date
11/17/2014
Last updated
11/17/2014
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