Individual
MARK WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2730 PACIFIC BLVD SE, ALBANY, OR 97321-5075
(541) 967-3866
(541) 812-8807
Mailing address
PO BOX 100, ALBANY, OR 97321-0031
(541) 967-3866
(541) 812-8807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L11278
OR
Other
Enumeration date
02/03/2016
Last updated
04/15/2024
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