Individual
SARAH WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 NW 22ND AVE, DEPT OF PATHOLOGY, PORTLAND, OR 97210-3025
(503) 237-0507
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 237-0507
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD 00049411
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD28199
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8536666
—
WA
Enumeration date
01/26/2007
Last updated
04/17/2009
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