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Individual

PHILIP WALTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
01/19/2008
Last updated
01/19/2008
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