Provider Demographics
NPI:1679844823
Name:WHITNEY, VIRGINIA (PA)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:WHITNEY
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:PO BOX 3158
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97208-3158
Mailing Address - Country:US
Mailing Address - Phone:503-215-6494
Mailing Address - Fax:503-215-6644
Practice Address - Street 1:9427 SW BARNES RD
Practice Address - Street 2:STE 595
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-6652
Practice Address - Country:US
Practice Address - Phone:503-216-1150
Practice Address - Fax:503-216-1066
Is Sole Proprietor?:No
Enumeration Date:2012-01-19
Last Update Date:2021-07-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant