Individual
MIHO LUCILLE WALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
30 NE MLK BLVD, PORTLAND, OR 97232-2941
(503) 232-1099
Mailing address
4920 NE GLISAN ST APT 210, PORTLAND, OR 97213-2960
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201704903RN
OR
Other
Enumeration date
02/10/2018
Last updated
02/10/2018
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