Individual
DR. STEPHEN DALE WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4630 RIVER RD N, KEIZER, OR 97303-4648
(503) 304-2225
(503) 304-2226
Mailing address
12034 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8382
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6012
OR
Other
Enumeration date
07/15/2019
Last updated
04/13/2022
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