| Doctor Name: | CHRISTINE A WHITAKER |
| NPI Number: | 1497053094 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | R46614 |
| Business Practice Address: | 2800 Sw 257th Ave Troutdale, OR - 970601803 |
| Business Phone Number: | 5036677711 |
| Business Fax Number: | 5036699908 |
| Mailing Address: | 2800 Sw 257th Ave, TROUTDALE |
| State: | OR |
| Postal Code: | 970601803 |
| Phone Number: | 5036677711 |
| Fax Number: | 5036699908 |
| NPI Enumeration Date: | 03/05/2011 |
| NPI Last Update Date: | 05/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R46614 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |