Individual
KATHLEEN L WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3800
Mailing address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202004951RN
OR
163W00000X
Registered Nurse
9517507
CA
363LF0000X
Family Nurse Practitioner
Primary
202007309NP-PP
OR
Other
Enumeration date
06/17/2020
Last updated
09/24/2020
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