Provider Demographics
NPI:1043439037
Name:WHITEHOUSE, LINDSAY KAE
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:KAE
Last Name:WHITEHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6227 NE 15TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97211-4805
Mailing Address - Country:US
Mailing Address - Phone:503-459-1900
Mailing Address - Fax:
Practice Address - Street 1:6227 NE 15TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97211-4805
Practice Address - Country:US
Practice Address - Phone:503-459-1900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor