Individual
MR. DAVID J WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC I
Contact information
Practice address
3793 RIVER RD N, KEIZER, OR 97303-4827
(503) 304-7002
(503) 304-7049
Mailing address
3793 RIVER RD N, KEIZER, OR 97303-4827
(503) 304-7002
(503) 304-7049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
415-051-0000
OR
101Y00000X
Counselor
415-051-0130
OR
101Y00000X
Counselor
415-054-0005
OR
Other
Enumeration date
03/01/2010
Last updated
03/01/2010
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