SearchWashington363LF0000X

Brandon Whitlock, AG-ACNP

NPI 1124353719 · on the registry since 2009 · sole proprietor

Practice

Address
1119 Highland Ave Ste 7
Clarkston, WA 99403
Phone
(509) 758-1119
Organisation at this address
Walter Williams
Yellow Rock Clinic Pllc
Lewis Clark Oral Surgery
Lewiston-Clarkston Oral & Max. Surg. Pc
Paradise Wound Healing Professionals, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
26

Additional practice sites

  • 627 6th Ave, Lewiston, ID

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Also registered as
363LF0000X
Licence states on file
ID, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-05-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington