Individual
DR. MICHELLE WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHNP PHD
Contact information
Practice address
26 NW IRVING, BEND, OR 97701
(554) 138-2516
(541) 382-6798
Mailing address
26 NW IRVING, BEND, OR 97701
(554) 138-2516
(541) 382-6798
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1017
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
093006739N6
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118427
—
OR
Enumeration date
03/09/2007
Last updated
09/11/2025
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