Individual
MR. DAVID R MCWHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
890 OAK ST SE, SALEM, OR 97301-3905
(503) 814-0273
Mailing address
3722 GALLOWAY ST S, SALEM, OR 97302-6806
(217) 474-9453
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA202632
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2012
Last updated
04/07/2021
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