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Individual
TERRI C WALTER
Active
Individual
TERRI C WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
PA2005-0024
NM
363A00000X
Physician Assistant
Primary
PA60541343
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14755572
—
NM
05
—
2047154
—
WA
Enumeration date
10/03/2006
Last updated
02/23/2026
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