Jack Thomas Whittaker
Jack Thomas Whittaker is a Behavior Technician in Portland, Oregon. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
1675 SW Marlow Ave Ste 200Portland, OR 97225-5102
Phone: (510) 679-3545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Behavior Technician (primary) | Taxonomy 106S00000X |
|---|
Record details
| NPI number | 1073178745 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 7, 2019 |
| Last updated in NPPES | May 7, 2019 |
| Mailing address | 5925 Sw Spruce Ave, Beaverton, OR 97005-3502 |
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