JEFFREY DANIEL WHITAKER

PORTLAND, OR
NPI1578285219
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  202213055NP-PP)
Enumeration Date2022-09-19
Last Update Date2022-09-19
Business Address
Dr. JEFFREY DANIEL WHITAKER DNP, PMHNP-BC
1201 SW 12TH AVE
PORTLAND, OR 97205-2046
Phone number: 971-251-9856
Mailing Address
Dr. JEFFREY DANIEL WHITAKER DNP, PMHNP-BC
1446A 5TH AVE
FORT KNOX, KY 40121-2223
Phone number: 903-283-0834
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