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NPI Code Detail

MEDICARE: BRIAN WALKER

MEDICARE: BRIAN WALKER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorOR

General Provider Information

NPI Number : 1083547376
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIAN WALKER
Provider Business Mailing Address
First Line : 2912 SE BAKER AVE
Second Line :
City : GRESHAM
State : OR
Zip : 97080-8665
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6828 SE HOLGATE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97206-3504
Country : US
Telephone Number : 971-803-8290
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2026
Last Update Date : 06/05/2026

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Directions to “ BRIAN WALKER ” Practice Location

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