Individual
BROOKE NICOLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 6TH ST, UMATILLA, OR 97882-3004
(541) 275-7005
Mailing address
730 W SANDPIPER AVE, HERMISTON, OR 97838-2390
(360) 977-1752
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
000558
OR
126800000X
Dental Assistant
—
WA
172V00000X
Community Health Worker
—
OR
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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