Healthcare Provider Details

I. General information

NPI: 1447456843
Provider Name (Legal Business Name): HUGH D WALKER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2007
Last Update Date: 07/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 W 11TH AVE
EUGENE OR
97402-3040
US

IV. Provider business mailing address

3321 W 11TH AVE
EUGENE OR
97402-3040
US

V. Phone/Fax

Practice location:
  • Phone: 541-685-1800
  • Fax: 541-685-1919
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD06015
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License NumberMD06015
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: