Organization
DIANE F. WHITNEY, M. D., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE F. WHITNEY M. D. (PRESIDENT)
(503) 223-6360
Entity
Organization
Contact information
Practice address
1220 SW MORRISON ST, SUITE 525, PORTLAND, OR 97205-2235
(503) 223-6360
(503) 497-1257
Mailing address
1220 SW MORRISON ST, SUITE 525, PORTLAND, OR 97205-2235
(503) 223-6360
(503) 497-1257
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
MD10974
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000BHKTW
MEDICARE ID
OR
Enumeration date
11/13/2010
Last updated
11/13/2010
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