Healthcare Provider Details

I. General information

NPI: 1659192656
Provider Name (Legal Business Name): WALKER & WALKER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1551 NE 4TH ST
BEND OR
97701-4241
US

IV. Provider business mailing address

1551 NE 4TH ST
BEND OR
97701-4241
US

V. Phone/Fax

Practice location:
  • Phone: 541-389-9373
  • Fax:
Mailing address:
  • Phone: 541-389-9373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TRAVIS WALKER
Title or Position: CEO / DOCTOR
Credential: DC
Phone: 503-708-0387