Individual
MISS MAYA WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
622 S 57TH PL, SPRINGFIELD, OR 97478-5487
(541) 747-3883
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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