Individual
DR. ANASTACIA M. WHITMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4548 N ALBINA AVE, PORTLAND, OR 97217-3010
(503) 626-9711
Mailing address
4548 N ALBINA AVE, PORTLAND, OR 97217-3010
(503) 626-9711
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
10970
WA
1223P0221X
Pediatric Dentistry
Primary
D8950
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244432
—
OR
Enumeration date
02/26/2007
Last updated
02/10/2016
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