Individual
TRAVIS WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4370 SE KING RD, MILWAUKIE, OR 97222-1607
(503) 654-7400
Mailing address
4370 SE KING RD, MILWAUKIE, OR 97222-1607
(503) 654-7400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6104
OR
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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