Doctor Name: | RYAN JEFFERY WALKER |
NPI Number: | 1922270073 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | |
Business Practice Address: | 336 228th Ave Ne Suite 301 Sammamish, WA - 980747289 |
Business Phone Number: | 4254665210 |
Business Fax Number: | 4256428017 |
Mailing Address: | 336 228th Ave Ne, Suite 301 SAMMAMISH |
State: | WA |
Postal Code: | 980747289 |
Phone Number: | 4254665210 |
Fax Number: | 4256428017 |
NPI Enumeration Date: | 03/28/2008 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |