Provider Demographics
NPI:1649649633
Name:WHITEHILL, AMIRA ROSE (MA)
Entity type:Individual
Prefix:
First Name:AMIRA
Middle Name:ROSE
Last Name:WHITEHILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 49TH ST NW
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7301
Mailing Address - Country:US
Mailing Address - Phone:253-222-3901
Mailing Address - Fax:
Practice Address - Street 1:6006 49TH ST NW
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7301
Practice Address - Country:US
Practice Address - Phone:253-222-3901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-19
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist