Individual
CAITLYN NICOLE WITTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSCN
Contact information
Practice address
5211 NE GLISAN ST BLDG C, PORTLAND, OR 97213-3052
(503) 215-6628
Mailing address
200 IDAHO ST, MOSIER, OR 97040-8724
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/16/2018
Last updated
01/16/2018
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