Individual
DR. JASON LAMAR WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1100 SOUTHGATE, SUITE 17, PENDLETON, OR 97801-3974
(541) 276-1561
Mailing address
1100 SOUTHGATE, SUITE 17, PENDLETON, OR 97801-3974
(541) 276-1561
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9454
OR
Other
Enumeration date
07/16/2010
Last updated
07/16/2010
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