Individual
MR. RONALD DAVID WHITELAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 MARKET ST STE 60, LEBANON, OR 97355-2395
(541) 451-1733
(541) 451-4902
Mailing address
90 MARKET ST STE 60, LEBANON, OR 97355-2395
(541) 451-1733
(541) 451-4902
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAS-P-173652
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006093
—
OR
Enumeration date
01/08/2008
Last updated
01/08/2008
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