Individual
DR. JOHN ROBERT WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1750 MCGILCHRIST ST SE STE 130, SALEM, OR 97302-1691
(971) 304-2200
Mailing address
107 E MOUNTAIN VIEW AVE, ELLENSBURG, WA 98926-5312
(509) 962-6348
(509) 962-8702
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD199938
OR
Other
Enumeration date
11/29/2005
Last updated
07/17/2020
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