Individual
MR. MICHAEL L WALSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1829 NE ALBERTA ST STE 1, PORTLAND, OR 97211-5881
(503) 888-8994
Mailing address
1829 NE ALBERTA ST STE 1, PORTLAND, OR 97211-5881
(503) 888-8994
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6240
OR
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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