Individual
KARIN WALCZAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
230 ROWE ST., WHEELER, OR 97147
(503) 368-5182
(503) 368-5590
Mailing address
13370 THOMPSON RD, NEHALEM, OR 97131-9622
(503) 368-5084
(503) 367-5590
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD15107
OR
Other
Enumeration date
07/02/2007
Last updated
02/22/2012
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