Individual
ELIZABETH WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3808 N WILLIAMS AVE, SUITE 133, PORTLAND, OR 97227-1467
(503) 445-1188
(503) 445-1189
Mailing address
20454 NE SANDY BLVD APT C42, FAIRVIEW, OR 97024-8788
(503) 484-4673
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15683
OR
Other
Enumeration date
02/03/2014
Last updated
02/03/2014
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