Individual
DIXIE L WHETSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, IBCLC
Contact information
Practice address
2733 SE GRANT ST, PORTLAND, OR 97214-5536
(503) 230-1893
Mailing address
2733 SE GRANT ST, PORTLAND, OR 97214-5536
(503) 230-1893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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