Provider Demographics
NPI:1952552861
Name:WHITE, WENDY LEIGH HADDEN (ND)
Entity Type:Individual
Prefix:DR
First Name:WENDY LEIGH
Middle Name:HADDEN
Last Name:WHITE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:DR
Other - First Name:LEIGH
Other - Middle Name:HADDEN
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ND
Mailing Address - Street 1:4110 SE HAWTHORNE BLVD # 1057
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97214-5246
Mailing Address - Country:US
Mailing Address - Phone:503-433-5200
Mailing Address - Fax:
Practice Address - Street 1:516 SE MORRISON ST
Practice Address - Street 2:SUITE 207
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97214-2327
Practice Address - Country:US
Practice Address - Phone:503-239-1022
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0404175F00000X
OR3074175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath