Individual
SHAWNTINA ALETTA WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6601 NE 78TH CT STE A3, PORTLAND, OR 97218-2823
(971) 645-4806
Mailing address
312 NE MONROE ST APT 205, PORTLAND, OR 97212-3091
(503) 754-2098
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
5203
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
DC
01
—
568946544
BCBS
—
01
—
5874
HEALTH PARTNERS
—
Enumeration date
05/03/2025
Last updated
05/03/2025
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