Individual
BETSY I WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS/QMHA-I
Contact information
Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 548-0346
(503) 232-5959
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
19-QMHA-I-00399
OR
175T00000X
Peer Specialist
Primary
THW0001751
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500723740
—
OR
05
—
500758830
—
OR
Enumeration date
12/30/2016
Last updated
02/22/2021
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