Individual
HEIDI LYNN WALRATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
2205 N LOMBARD ST, SUITE 101, PORTLAND, OR 97217-5770
(503) 593-9825
Mailing address
23019 NE 109TH ST, VANCOUVER, WA 98682-9513
(503) 593-9825
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5613
OR
111N00000X
Chiropractor
Primary
CH60419778
WA
Other
Enumeration date
03/22/2013
Last updated
05/20/2015
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