Provider Demographics
NPI:1407011992
Name:WHITE, DAVID (HAD&F)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:WHITE
Suffix:
Gender:M
Credentials:HAD&F
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 SE SUNNYSIDE RD STE 300N
Mailing Address - Street 2:
Mailing Address - City:CLACKAMAS
Mailing Address - State:OR
Mailing Address - Zip Code:97015-5703
Mailing Address - Country:US
Mailing Address - Phone:281-286-2999
Mailing Address - Fax:512-607-4893
Practice Address - Street 1:410 E LEOTA ST STE 3B
Practice Address - Street 2:
Practice Address - City:NORTH PLATTE
Practice Address - State:NE
Practice Address - Zip Code:69101-7853
Practice Address - Country:US
Practice Address - Phone:308-532-5114
Practice Address - Fax:503-659-5968
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2018-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE593174400000X
237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No174400000XOther Service ProvidersSpecialist