Individual
HEATHER REBECCA WHITNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L6823
OR
Other
Enumeration date
12/08/2016
Last updated
12/08/2016
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