IndividualActive
Ann Whittemore, MED, MA
NPI 1407531908 · Emotionally Disturbed Childrens' Residential Treatment Facility · Beaverton, OR
Provider details
- NPI number
- 1407531908
- Entity type
- Individual
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Credential
- MED, MA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
16535 Sw Tualatin Valley Hwy
Beaverton, OR 97003-5143
Phone: (503) 259-3111
Approximate (ZIP-level) locationGet directions
Mailing address
16535 Sw Tualatin Valley Hwy
Beaverton, OR 97003-5143
Registry dates
- Enumerated
- 2023-06-21
- Last updated
- 2023-06-21
- Certified
- 2023-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.