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Blake Whitaker
NPI 1336700848 · on the registry since 2019
Practice
- Address
- 2005 Sw Leewood Dr
Aloha, OR 97003 - Phone
- (503) 840-2038
Registry record
- Primary taxonomy
- Adult Companion
372600000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-06-25
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 Oregon