Stephen David Whittaker, M.A

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

10129935 Issued in OR

Practice address

205 E Main St
Suite #1
Hillsboro, OR 97123-4057

Phone

(503) 547-8686

Fax

(503) 547-0505

NPI assigned

Nov 10, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349740800000",
    "number": "1851628945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234057",
            "telephone_number": "503-547-8686",
            "fax_number": "503-547-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E MAIN ST",
            "address_2": "SUITE #1",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971234057",
            "telephone_number": "503-547-8686",
            "fax_number": "503-547-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "M.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2012-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "10129935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer White
• John-Brian Wyckoff White, CRM, PSS, LMT
• Madison White
• Vickie Kinder Whitehead, MSW
• Allison Whiteside, PT
• Michael Whitty, OTR
• Ruby Whorton
• Alyssa Elizabeth Moore Wicknick, DO
• Jeffrey Dana Wiedemann, PHARMD
• Danielle Anne Wiens, QMHP

• Professional Counselor in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.