Individual
LINDA DEWHITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2981 SE 21ST ST, GRESHAM, OR 97080-9249
(503) 830-5508
Mailing address
2981 SE 21ST ST, GRESHAM, OR 97080-9249
(503) 830-5508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930374LPN
OR
Other
Enumeration date
06/06/2017
Last updated
07/21/2022
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