Mr. Blake Gibson Whitaker
Mr. Blake Gibson Whitaker is an Adult Companion in Aloha, Oregon. Licensed in Oregon. Registered with an NPI since 2019.
- Licensed in
- OR
- In the registry since
- 2019
Practice location Address checks out
2005 SW Leewood DrAloha, OR 97003-2104
Phone: (503) 840-2038
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Companion (primary) | Taxonomy 372600000X (OR) |
|---|
Record details
| NPI number | 1336700848 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 25, 2019 |
| Last updated in NPPES | June 25, 2019 |
| Mailing address | 2005 Sw Leewood Dr, Aloha, OR 97003-2104 |
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