Individual
MS. NANCY KAY WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 NE HIGHWAY 20, CORVALLIS, OR 97330-9695
(541) 757-1852
Mailing address
1844 SE CRYSTAL CIR, CORVALLIS, OR 97333-1829
(541) 753-4954
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/08/2008
Last updated
02/08/2008
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