Individual
DOUGLAS JOHN WALKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
(509) 321-5472
Mailing address
12715 E MISSION AVE, SPOKANE VALLEY, WA 99216-1027
(509) 232-5766
(509) 321-5472
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CP00001820
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2077844
—
WA
Enumeration date
11/06/2018
Last updated
11/06/2018
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