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Individual

JAMES BRIAN WHITMORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
QMHA

Contact information

Practice address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5932
(541) 258-5704
Mailing address
1600 S MAIN ST, LEBANON, OR 97355-3109
(541) 451-5932
(541) 258-5704

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NONE

Other

Enumeration date
03/30/2007
Last updated
07/08/2007
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