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Individual

MR. STEPHEN DAVID WHITTAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A

Contact information

Practice address
205 E MAIN ST, SUITE #1, HILLSBORO, OR 97123-4057
(503) 547-8686
(503) 547-0505
Mailing address
205 E MAIN ST, SUITE #1, HILLSBORO, OR 97123-4057
(503) 547-8686
(503) 547-0505

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10129935
OR

Other

Enumeration date
11/10/2009
Last updated
10/09/2012
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