Individual
MR. MICHAEL THEODORE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, QMHP
Contact information
Practice address
2330 NE SISKIYOU ST, PORTLAND, OR 97212-2471
(503) 528-0757
(503) 528-0764
Mailing address
PO BOX 343, TILLAMOOK, OR 97141-0343
(503) 842-4650
(800) 785-5748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
11/26/2008
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