Provider Demographics
NPI:1356592596
Name:WHITE, EMILY J (CRT)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:J
Last Name:WHITE
Suffix:
Gender:F
Credentials:CRT
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:J
Other - Last Name:KLINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRT
Mailing Address - Street 1:735 SW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:TROUTDALE
Mailing Address - State:OR
Mailing Address - Zip Code:97060-1475
Mailing Address - Country:US
Mailing Address - Phone:503-887-5351
Mailing Address - Fax:
Practice Address - Street 1:735 SW 14TH ST
Practice Address - Street 2:
Practice Address - City:TROUTDALE
Practice Address - State:OR
Practice Address - Zip Code:97060
Practice Address - Country:US
Practice Address - Phone:503-887-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORRT-P-1006434225B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225B00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPulmonary Function Technologist