Individual
MR. MICHAEL LOUIS WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
605 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-3216
(503) 231-7408
Mailing address
7425 SW ALOMA WAY APT 5, PORTLAND, OR 97223-7919
(408) 306-8940
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/20/2018
Last updated
05/08/2023
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