MR. BLAKE WHITAKER

Adult Companion

Active Individual
NPI: 1336700848

Practice Address

2005 SW LEEWOOD DR
Aloha, OR 97003

Phone: (503) 840-2038

Specialties

Specialty Code Primary License
Adult Companion 372600000X Yes -

Frequently Asked Questions

NPI 1336700848 is the National Provider Identifier for MR. BLAKE WHITAKER, a Adult Companion provider located in Aloha, OR. This NPI was enumerated on June 25, 2019.
MR. BLAKE WHITAKER practices at 2005 SW LEEWOOD DR, Aloha, OR 97003.

Quick Facts

NPI
1336700848
Type
Individual
Enumerated
Jun 25, 2019
Last Updated
Jun 25, 2019

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