Provider Demographics
NPI:1669894424
Name:WHITMORE, JAMES DON (LAC)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DON
Last Name:WHITMORE
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:222 SE URANIA LN
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97702-1624
Mailing Address - Country:US
Mailing Address - Phone:541-410-5135
Mailing Address - Fax:971-256-8865
Practice Address - Street 1:222 SE URANIA LN
Practice Address - Street 2:
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97702-1624
Practice Address - Country:US
Practice Address - Phone:541-410-5135
Practice Address - Fax:971-256-8865
Is Sole Proprietor?:No
Enumeration Date:2014-01-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR170228171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist