Organization
PENDLETON FAMILY PRACTICE AND SPORTS MEDICINE LLC
Active
Other names
Dr. Kent R. Walker, D.O.
Organization subpart
No
Provider details
NPI number
Authorized official
DARLA LINKER (OFFICE MANAGER)
(541) 966-8384
Entity
Organization
Contact information
Practice address
202 SE DORION AVE, PENDLETON, OR 97801-2576
(541) 966-8384
(541) 966-8387
Mailing address
202 SE DORION AVE, PENDLETON, OR 97801-2576
(541) 966-8384
(541) 966-8387
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
DO20295
OR
261QP2300X
Primary Care Clinic/Center
Primary
DO20295
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150117
—
OR
Enumeration date
02/20/2018
Last updated
06/11/2019
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