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Individual

DR. MARILYN MILLS WALKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD, LAC

Contact information

Practice address
7875 SW ALDEN ST, PORTLAND, OR 97223-9336
(503) 608-8155
(503) 244-3015
Mailing address
7875 SW ALDEN ST, PORTLAND, OR 97223-9336
(503) 608-8155
(503) 244-3015

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC01190
OR
207Q00000X
Family Medicine Physician
Primary
MD18470
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
279345
DMAP (OREGON HEALTH PLAN)
OR
Enumeration date
12/04/2006
Last updated
11/20/2009
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