Individual
WALKER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
738 NE DAVIS ST, PORTLAND, OR 97232-2931
(503) 233-6093
Mailing address
282 NW MACLEAY BLVD, PORTLAND, OR 97210-3374
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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