Doctor Name: | ELIZABETH WALKER |
NPI Number: | 1164845608 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 15683 |
Business Practice Address: | 3808 N Williams Ave Suite 133 Portland, OR - 972271467 |
Business Phone Number: | 5034451188 |
Business Fax Number: | 5034451189 |
Mailing Address: | 20454 Ne Sandy Blvd Apt C42, FAIRVIEW |
State: | OR |
Postal Code: | 970248788 |
Phone Number: | 5034844673 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2014 |
NPI Last Update Date: | 02/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 15683 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |