Individual
ZACKARY WALKER WAKERLIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LXMO
Contact information
Practice address
1050 W ELM AVE STE 110, HERMISTON, OR 97838-2713
(541) 567-2995
(541) 567-7720
Mailing address
1050 W ELM AVE STE 110, HERMISTON, OR 97838-2713
(541) 567-2995
(541) 567-7720
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
916154
OR
Other
Enumeration date
06/05/2017
Last updated
06/05/2017
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