Individual
JEMIE WALROD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8935 SE POWELL BLVD, PORTLAND, OR 97266-1938
(503) 772-4335
(503) 772-4337
Mailing address
8935 SE POWELL BLVD, PORTLAND, OR 97266-1938
(503) 772-4335
(503) 772-4337
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD195222
OR
Other
Enumeration date
05/05/2017
Last updated
03/26/2021
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