WILLIAM C. WHITACRE

PORTLAND, OR
NPI1588635635
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OR  201260035CRNA)
Enumeration Date2006-01-27
Last Update Date2012-09-21
Business Address
Mr. WILLIAM C. WHITACRE CRNA
6400 SE LAKE RD STE 130
PORTLAND, OR 97222-2129
Phone number: 503-594-1774
Mailing Address
Mr. WILLIAM C. WHITACRE CRNA
CMR 402 BOX 1852
APO, AE 09180-0019
Phone number: 01149172-825-3813
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