Individual
GORDON VANCE WALKER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW, CADC1
Contact information
Practice address
2943 NE DAVIS ST, PORTLAND, OR 97232-3236
(503) 875-3179
(503) 639-9347
Mailing address
2943 NE DAVIS ST, PORTLAND, OR 97232-3236
(503) 875-3179
(503) 639-9347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-09-59
OR
1041C0700X
Clinical Social Worker
Primary
6613
OR
Other
Enumeration date
11/27/2015
Last updated
11/27/2015
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