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NPI Code Detail

MEDICARE: KATHLEEN A WALKER RN

MEDICARE: KATHLEEN A WALKER RN
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
1163WG0000XGeneral Practice Registered NurseOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093794687
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN A WALKER RN
Provider Business Mailing Address
First Line : 15 N MORRIS ST
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1541
Country : US
Telephone Number : 503-230-9875
Fax Number : 503-230-9877
Provider Business Practice Location Address
First Line : 1776 SW MADISON ST
Second Line :
City : PORTLAND
State : OR
Zip : 97205-1715
Country : US
Telephone Number : 503-230-9875
Fax Number : 503-230-9877
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 07/08/2007

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Directions to “ KATHLEEN A WALKER RN” Practice Location

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