Individual
MOLLIE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LMT
Contact information
Practice address
818 NW MARSHALL ST, PORTLAND, OR 97209
(503) 719-5335
Mailing address
818 NW MARSHALL ST, PORTLAND, OR 97209-3295
(503) 719-5335
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
4145
OR
225700000X
Massage Therapist
023162
OR
Other
Enumeration date
12/09/2017
Last updated
08/25/2018
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