| Doctor Name: | MR. GRANT PAUL WALKER |
| NPI Number: | 1396796629 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | A.A.S., CADC |
| License Number: | 960467 |
| Business Practice Address: | 8495 Crater Lake Hwy White City, OR - 975033011 |
| Business Phone Number: | 1541826211 |
| Business Fax Number: | 1541830350 |
| Mailing Address: | Po Box 2242, GRANTS PASS |
| State: | OR |
| Postal Code: | 975280280 |
| Phone Number: | 1541862701 |
| Fax Number: | |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 960467 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |